{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:22:21Z","timestamp":1784679741491,"version":"3.55.0"},"reference-count":42,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2006,4,28]],"date-time":"2006-04-28T00:00:00Z","timestamp":1146182400000},"content-version":"vor","delay-in-days":117,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2006,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Shoulder stabilization is of utmost importance in upper extremity reanimation following paralysis from devastating injuries. Although secondary procedures such as tendon and muscle transfers have been used, they never achieve a functional recovery comparable to that following successful reinnervation of the supraspinatus, deltoid, teres minor, and infraspinatus muscles. Early restoration of suprascapular and axillary nerve function through timely brachial plexus reconstruction offers a good opportunity to restore shoulder\u2010joint stability, adequate shoulder abduction, and external rotation function. Overall, in our series, 79% of patients achieved good and excellent shoulder abduction (muscle grade, +3 or more), and 55% of patients achieved good or excellent shoulder external rotation after reinnervation of the suprascapular nerve. The best results were seen when direct neurotization of the suprascapular nerve from the distal spinal accessory nerve or neurotization by the C5 root was carried out. Concomitant neurotization of the axillary nerve yields improved outcomes in shoulder abduction and external rotation function. \u00a9 2006 Wiley\u2010Liss, Inc. Microsurgery, 2006.<\/jats:p>","DOI":"10.1002\/micr.20245","type":"journal-article","created":{"date-parts":[[2006,4,28]],"date-time":"2006-04-28T19:41:43Z","timestamp":1146253303000},"page":"316-324","source":"Crossref","is-referenced-by-count":56,"title":["Restoration of shoulder function with nerve transfers in traumatic brachial plexus palsy patients"],"prefix":"10.1002","volume":"26","author":[{"given":"Julia K.","family":"Terzis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ioannis","family":"Kostas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Panayotis N.","family":"Soucacos","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,4,28]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920160108"},{"key":"e_1_2_1_3_2","first-page":"113","article-title":"C5\u2010C6 and C5\u2010C6\u2010C7 traumatic paralysis of the brachial plexus of the adult caused by supraclavicular lesions","volume":"84","author":"Alnot JY","year":"1998","journal-title":"Rev Chir Orthop"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2003.98.5.1005"},{"key":"e_1_2_1_5_2","doi-asserted-by":"crossref","first-page":"107","DOI":"10.1016\/S0030-5898(20)30334-5","article-title":"The results of microneurosurgical reconstruction in complete brachial plexus palsy. Assessing outcome and predicting results","volume":"19","author":"Hentz VR","year":"1988","journal-title":"Orthop Clin North Am"},{"key":"e_1_2_1_6_2","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_1_7_2","doi-asserted-by":"crossref","first-page":"619","DOI":"10.1016\/S0749-0712(21)01228-2","article-title":"Paralytic disorders of the shoulder girdle","volume":"4","author":"Narakas AO","year":"1988","journal-title":"Hand Clin"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(97)90084-7"},{"key":"e_1_2_1_9_2","first-page":"233","volume-title":"The shoulder","author":"Morrey BF","year":"1998"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200010000-00022"},{"key":"e_1_2_1_11_2","first-page":"32","volume-title":"The shoulder: rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa","author":"Codman EA","year":"1984"},{"key":"e_1_2_1_12_2","first-page":"165","article-title":"Forces at the glenohumeral joint in abduction","volume":"135","author":"Poppen NK","year":"1978","journal-title":"Clin Orthop"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200209000-00030"},{"key":"e_1_2_1_14_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B1.6860"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198668030-00013"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-30183"},{"key":"e_1_2_1_17_2","first-page":"433","volume-title":"Management of peripheral nerve problems","author":"Millesi H","year":"1998"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-200104000-00018"},{"key":"e_1_2_1_19_2","doi-asserted-by":"crossref","first-page":"416","DOI":"10.2106\/00004623-198870030-00014","article-title":"Shoulder arthrodesis using a pelvic\u2010reconstruction plate. A report of eleven cases","volume":"70","author":"Richards RR","year":"1988","journal-title":"J Bone Joint Surg [Am]"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199901000-00004"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920150109"},{"key":"e_1_2_1_22_2","doi-asserted-by":"crossref","first-page":"633","DOI":"10.1016\/S0749-0712(21)00272-9","article-title":"Neurotization procedures for brachial plexus injuries","volume":"11","author":"Chuang DC","year":"1995","journal-title":"Hand Clin"},{"key":"e_1_2_1_23_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-19703"},{"key":"e_1_2_1_24_2","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/S0094-1298(20)31834-4","article-title":"Thoughts on neurotization or nerve transfers in irreparable nerve lesions","volume":"11","author":"Narakas AO","year":"1984","journal-title":"Clin Plast Surg"},{"key":"e_1_2_1_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200209000-00011"},{"key":"e_1_2_1_26_2","doi-asserted-by":"publisher","DOI":"10.1007\/s007760050024"},{"key":"e_1_2_1_27_2","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1097\/00003086-198812000-00008","article-title":"Neurotization in brachial plexus injuries. Indication and results","volume":"237","author":"Narakas AO","year":"1988","journal-title":"Clin Orthop"},{"key":"e_1_2_1_28_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199910000-00001"},{"key":"e_1_2_1_29_2","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1097\/00003086-198812000-00012","article-title":"Nerve repairs for traumatic brachial plexus palsy with root avulsion","volume":"237","author":"Kawai H","year":"1988","journal-title":"Clin Orthop"},{"key":"e_1_2_1_30_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.21518"},{"key":"e_1_2_1_31_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-200001000-00020"},{"key":"e_1_2_1_32_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2001.28762"},{"key":"e_1_2_1_33_2","doi-asserted-by":"publisher","DOI":"10.1054\/jhsb.2000.0487"},{"key":"e_1_2_1_34_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920050302"},{"key":"e_1_2_1_35_2","first-page":"459","volume-title":"Management of peripheral nerve problems","author":"Songcharoen P","year":"1998"},{"key":"e_1_2_1_36_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-197808000-00013"},{"key":"e_1_2_1_37_2","first-page":"397","volume-title":"Nerve injuries: operative results for major nerve injuries, entrapments, and tumors","author":"Kline DG","year":"1995"},{"key":"e_1_2_1_38_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-199507000-00019"},{"key":"e_1_2_1_39_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1999.91.4.0601"},{"key":"e_1_2_1_40_2","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/S0094-1298(20)31833-2","article-title":"Neurotization of avulsed roots of brachial plexus by means of anterior nerves of cervical plexus","volume":"11","author":"Brunelli G","year":"1984","journal-title":"Clin Plast Surg"},{"key":"e_1_2_1_41_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0266-7681(05)80235-9"},{"key":"e_1_2_1_42_2","doi-asserted-by":"publisher","DOI":"10.1098\/rstb.1981.0083"},{"key":"e_1_2_1_43_2","first-page":"555","volume-title":"Microreconstruction of nerve injuries","author":"Liberson WT","year":"1987"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.20245","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.20245","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,13]],"date-time":"2023-09-13T03:45:56Z","timestamp":1694576756000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.20245"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,1]]},"references-count":42,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2006,1]]}},"alternative-id":["10.1002\/micr.20245"],"URL":"https:\/\/doi.org\/10.1002\/micr.20245","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,1]]}}}