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Restoration of shoulder abduction function by direct muscular neurotization with the phrenic nerve fascicles and nerve grafts

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Restoration of shoulder abduction function by direct muscular neurotization with the phrenic nerve fascicles and nerve grafts : a case report. / Sinis, Nektarios; Boettcher, Michael; Werdin, Frank; Kraus, Armin; Schaller, Hans-Eberhard.

In: MICROSURG, Vol. 29, No. 7, 01.01.2009, p. 552-5.

Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review

Harvard

Sinis, N, Boettcher, M, Werdin, F, Kraus, A & Schaller, H-E 2009, 'Restoration of shoulder abduction function by direct muscular neurotization with the phrenic nerve fascicles and nerve grafts: a case report', MICROSURG, vol. 29, no. 7, pp. 552-5. https://doi.org/10.1002/micr.20651

APA

Sinis, N., Boettcher, M., Werdin, F., Kraus, A., & Schaller, H-E. (2009). Restoration of shoulder abduction function by direct muscular neurotization with the phrenic nerve fascicles and nerve grafts: a case report. MICROSURG, 29(7), 552-5. https://doi.org/10.1002/micr.20651

Vancouver

Sinis N, Boettcher M, Werdin F, Kraus A, Schaller H-E. Restoration of shoulder abduction function by direct muscular neurotization with the phrenic nerve fascicles and nerve grafts: a case report. MICROSURG. 2009 Jan 1;29(7):552-5. https://doi.org/10.1002/micr.20651

Bibtex

@article{9e7cb4f241bb44c98fbc52013c4c8e89,
title = "Restoration of shoulder abduction function by direct muscular neurotization with the phrenic nerve fascicles and nerve grafts: a case report",
abstract = "In this report, we describe the first case of using the partial phrenic nerve transfer and direct muscular implantation into the deltoid muscle for restoration of the shoulder function and stability. A patient suffering from the partial brachial plexus injury with absent axillary nerve underwent reconstructive surgery by an end-to-end nerve coaptation using two fascicles of the phrenic nerve and two autologous nerve grafts, and direct implantation of nerve grafts into the deltoid muscle. Eighteen months after the procedure, we found a functioning biceps with 90 degrees elbow flexion against gravity and 40 degrees shoulder abduction with satisfactory shoulder stability. Electrophysiology revealed reinnervation potentials in the deltoid and biceps muscle. This case demonstrates a satisfactory result after using transfer of the partial ipsilateral phrenic nerve in combination with muscular implantation to restore shoulder abduction and stability. We recommend the described techniques in cases without other reconstructive options. (c) 2009 Wiley-Liss, Inc. Microsurgery, 2009.",
keywords = "Adult, Axilla, Brachial Plexus, Humans, Male, Muscle, Skeletal, Muscular Atrophy, Nerve Transfer, Phrenic Nerve, Recovery of Function",
author = "Nektarios Sinis and Michael Boettcher and Frank Werdin and Armin Kraus and Hans-Eberhard Schaller",
year = "2009",
month = jan,
day = "1",
doi = "10.1002/micr.20651",
language = "English",
volume = "29",
pages = "552--5",
journal = "MICROSURG",
issn = "0738-1085",
publisher = "Wiley-Liss Inc.",
number = "7",

}

RIS

TY - JOUR

T1 - Restoration of shoulder abduction function by direct muscular neurotization with the phrenic nerve fascicles and nerve grafts

T2 - a case report

AU - Sinis, Nektarios

AU - Boettcher, Michael

AU - Werdin, Frank

AU - Kraus, Armin

AU - Schaller, Hans-Eberhard

PY - 2009/1/1

Y1 - 2009/1/1

N2 - In this report, we describe the first case of using the partial phrenic nerve transfer and direct muscular implantation into the deltoid muscle for restoration of the shoulder function and stability. A patient suffering from the partial brachial plexus injury with absent axillary nerve underwent reconstructive surgery by an end-to-end nerve coaptation using two fascicles of the phrenic nerve and two autologous nerve grafts, and direct implantation of nerve grafts into the deltoid muscle. Eighteen months after the procedure, we found a functioning biceps with 90 degrees elbow flexion against gravity and 40 degrees shoulder abduction with satisfactory shoulder stability. Electrophysiology revealed reinnervation potentials in the deltoid and biceps muscle. This case demonstrates a satisfactory result after using transfer of the partial ipsilateral phrenic nerve in combination with muscular implantation to restore shoulder abduction and stability. We recommend the described techniques in cases without other reconstructive options. (c) 2009 Wiley-Liss, Inc. Microsurgery, 2009.

AB - In this report, we describe the first case of using the partial phrenic nerve transfer and direct muscular implantation into the deltoid muscle for restoration of the shoulder function and stability. A patient suffering from the partial brachial plexus injury with absent axillary nerve underwent reconstructive surgery by an end-to-end nerve coaptation using two fascicles of the phrenic nerve and two autologous nerve grafts, and direct implantation of nerve grafts into the deltoid muscle. Eighteen months after the procedure, we found a functioning biceps with 90 degrees elbow flexion against gravity and 40 degrees shoulder abduction with satisfactory shoulder stability. Electrophysiology revealed reinnervation potentials in the deltoid and biceps muscle. This case demonstrates a satisfactory result after using transfer of the partial ipsilateral phrenic nerve in combination with muscular implantation to restore shoulder abduction and stability. We recommend the described techniques in cases without other reconstructive options. (c) 2009 Wiley-Liss, Inc. Microsurgery, 2009.

KW - Adult

KW - Axilla

KW - Brachial Plexus

KW - Humans

KW - Male

KW - Muscle, Skeletal

KW - Muscular Atrophy

KW - Nerve Transfer

KW - Phrenic Nerve

KW - Recovery of Function

U2 - 10.1002/micr.20651

DO - 10.1002/micr.20651

M3 - SCORING: Journal article

C2 - 19418470

VL - 29

SP - 552

EP - 555

JO - MICROSURG

JF - MICROSURG

SN - 0738-1085

IS - 7

ER -