{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T17:27:13Z","timestamp":1750181233385},"reference-count":17,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2009,5,5]],"date-time":"2009-05-05T00:00:00Z","timestamp":1241481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>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\u2010to\u2010end 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\u00b0 elbow flexion against gravity and 40\u00b0 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. \u00a9 2009 Wiley\u2010Liss, Inc. Microsurgery, 2009.<\/jats:p>","DOI":"10.1002\/micr.20651","type":"journal-article","created":{"date-parts":[[2009,5,5]],"date-time":"2009-05-05T15:50:23Z","timestamp":1241538623000},"page":"552-555","source":"Crossref","is-referenced-by-count":9,"title":["Restoration of shoulder abduction function by direct muscular neurotization with the phrenic nerve fascicles and nerve grafts: A case report"],"prefix":"10.1002","volume":"29","author":[{"given":"Nektarios","family":"Sinis","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Boettcher","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank","family":"Werdin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armin","family":"Kraus","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans\u2010Eberhard","family":"Schaller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2009,5,5]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1089\/neu.2006.0165"},{"key":"e_1_2_1_3_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_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(97)80121-9"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.ju.0000132357.05513.5f"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jassh.2005.08.001"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1006655"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1913.04350010017006"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1002\/micr.1920160110"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199101000-00011"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/0363-5023(94)90011-6"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.3171\/foc.2004.16.5.6"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/0007-1226(94)90162-7"},{"key":"e_1_2_1_14_2","doi-asserted-by":"crossref","first-page":"1038","DOI":"10.1097\/00006534-199412000-00019","article-title":"End\u2010to\u2010side neurorrhaphy with removal of the epineurial sheath: An experimental study in rats","volume":"94","author":"Viterbo F","year":"1994","journal-title":"Plast Reconstr Surg"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.3171\/JNS-07\/10\/0821"},{"key":"e_1_2_1_16_2","first-page":"45","article-title":"End\u2010to\u2010side nerve repair: Review of the literature","volume":"25","author":"Pannucci C","year":"2007","journal-title":"Restor Neurol Neurosci"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.3171\/jns.2007.106.3.391"},{"key":"e_1_2_1_18_2","first-page":"77","article-title":"Stimulation of Schwann cell proliferation and axonal regeneration by FK 506","volume":"16","author":"Fansa H","year":"2000","journal-title":"Restor Neurol Neurosci"}],"container-title":["Microsurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.20651","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmicr.20651","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/micr.20651","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T18:11:13Z","timestamp":1699899073000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/micr.20651"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,5,5]]},"references-count":17,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2009,10]]}},"alternative-id":["10.1002\/micr.20651"],"URL":"https:\/\/doi.org\/10.1002\/micr.20651","archive":["Portico"],"relation":{},"ISSN":["0738-1085","1098-2752"],"issn-type":[{"value":"0738-1085","type":"print"},{"value":"1098-2752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,5,5]]}}}