Childs Nerv Syst (2017) 33:1571–1574 DOI 10.1007/s00381-017-3492-0 ORIGINAL PAPER Distal nerve transfer versus supraclavicular nerve grafting: comparison of elbow flexion outcome in neonatal brachial plexus palsy with C5-C7 involvement 1,2 1 1 1 Carlos O. Heise & Mario G. Siqueira & Roberto S. Martins & Luciano H. Foroni & Hugo Sterman-Neto Received: 5 June 2017 /Accepted: 9 June 2017 /Published online: 24 June 2017 Springer-Verlag GmbH Germany 2017 Abstract grafting at 12 months showed good elbow flexion recovery Purpose Ulnar and median nerve transfers to arm muscles after ulnar nerve transfers. have been used to recover elbow flexion in infants with neo- Conclusion Distal nerve transfers provided faster elbow flexion natal brachial plexus palsy, but there is no direct outcome recovery than supraclavicular nerve grafting, but there was no comparison with the classical supraclavicular nerve grafting significant difference in the outcome after 24 months of surgery. approach. Patients with failed supraclavicular grafting operated early can Methods We retrospectively analyzed patients with C5-C7 still benefit from late distal nerve transfers. Supraclavicular nerve neonatal brachial plexus palsy submitted to nerve surgery grafting should remain as the first line surgical treatment for and recorded elbow flexion recovery using the active move- children
Child's Nervous System – Springer Journals
Published: Jun 24, 2017
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