{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,14]],"date-time":"2026-09-14T15:31:22Z","timestamp":1789399882810,"version":"build-2803163510"},"reference-count":12,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2018,12,26]],"date-time":"2018-12-26T00:00:00Z","timestamp":1545782400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Anatomy"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>Restoration of shoulder lateral rotation remains a significant challenge following brachial plexus injury. Transfer of the accessory nerve to suprascapular nerve (SSN) has been widely performed, although with generally poor outcomes for lateral rotation. A recent report suggested a selective infraspinatus reinnervation technique using a radial nerve branch for SSN transfer. This cadaveric study was performed in 7 specimens (14 shoulders). We present technical modifications to achieve additional length to the recipient nerve (suprascapular) that would facilitate direct repair. Key elements of the technique are (1) isolation of the SSN immediately distal to its motor branch to supraspinatus near the superior transverse scapular ligament; and (2) delivery of the transected SSN through the spinoglenoid notch and deep to the infraspinatus for emergence in the infraspinatus\u2010teres minor interval. Nerve overlap of at least 21 mm was observed in all 14 dissected shoulders between the harvested SSN and radial nerve branches. The mean nerve overlap between harvested branches was 26 mm (range 21\u201332 mm). The mean harvested SSN length was 59 mm (range 46\u201380 mm). The mean length of the harvested radial nerve branch was 72 mm (range 65\u201385 mm). No measurements were significantly different between left and right shoulders or between males and females (smallest <jats:italic>P<\/jats:italic> value = 0.1249). Nerve diameter of the two harvested branches was judged to be appropriately compatible for surgical coaptation in all 14 dissected shoulders. We present a variation on a described technique to increase recipient suprascapular nerve length. Additional length of the recipient nerve is achieved through utilization of a more proximal dissection of the suprascapular nerve near the level of the superior transverse scapular ligament and delivering the nerve through the teres minor\u2010infraspinatus interval. These surgical modifications are of clinical interest when selective reinnervation of the infraspinatus muscle is considered. We believe such a targeted approach can potentially increase shoulder lateral rotation function. Clin. Anat. 32:131\u2013136, 2019. \u00a9 2018 Wiley Periodicals, Inc.<\/jats:p>","DOI":"10.1002\/ca.23310","type":"journal-article","created":{"date-parts":[[2018,10,26]],"date-time":"2018-10-26T11:50:26Z","timestamp":1540554626000},"page":"131-136","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Proposed surgical technique to facilitate targeted reinnervation of the infraspinatus: A cadaveric feasibility study"],"prefix":"10.1002","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8629-7567","authenticated-orcid":false,"given":"Cody C.","family":"Wyles","sequence":"first","affiliation":[{"name":"Mayo Clinic Department of Orthopedic Surgery  Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andr\u00e9s A.","family":"Maldonado","sequence":"additional","affiliation":[{"name":"BG Unfallklinik Frankfurt am Main Department of Plastic Surgery  Frankfurt 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Clinic Department of Orthopedic Surgery  Rochester Minnesota"},{"name":"Mayo Clinic Department of Anatomy  Rochester Minnesota"},{"name":"Mayo Clinic Department of Neurologic Surgery  Rochester Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,12,26]]},"reference":[{"key":"e_1_2_7_2_1","first-page":"10","article-title":"Paralytic shoulder secondary to post\u2010traumatic peripheral nerve lesions in the adult","volume":"65","author":"Alnot JY","year":"1999","journal-title":"Acta Orthop Belg"},{"key":"e_1_2_7_3_1","article-title":"Combined transfer of the medial triceps branch to the infraspinatus branch of the suprascapular nerve and the axillary nerve for restoration of shoulder abduction and external rotation in upper brachial plexus palsy","author":"Anuj M","year":"2014","journal-title":"A cadaveric 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