{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:22:27Z","timestamp":1784679747824,"version":"3.55.0"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T00:00:00Z","timestamp":1646179200000},"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":["Microsurgery"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Attaining active glenohumeral external rotation (aGHER), whether via primary reconstruction or spontaneous recovery, is infrequent in patients with neonatal brachial plexus palsy (NBPI). We evaluated the effectiveness of triceps\u2010to\u2010teres minor motor branch transfers to restore this function, both performed primarily (i.e., in conjunction with microsurgical plexus reconstruction) or secondarily (after primary surgery has failed to restore aGHER).<\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p>This was a retrospective study of 12 children with NBPI undergoing triceps\u2010to\u2010teres minor motor branch transfer via an axillary approach, six undergoing primary surgery and six secondary. The primary outcome was post\u2010operative restoration of aGHER in abduction. The primary\u2010surgery group consisted of six children of mean age 8\u2009months (range 5\u201311) with partial injuries ranging from C5\u2013C6 to C5\u2013C8. The secondary\u2010surgery group included six patients with C5\u2013C6 injuries of mean age 43\u2009months (range 23\u2013120), undergoing re\u2010operation a mean 40\u2009months (range 18\u2013116) after their primary surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>No complications occurred after surgery. At a mean follow\u2010up of 22\u2009months (range 14\u201330), aGHER in abduction only was restored in one patient in the primary group while in the secondary group, aGHER in abduction was restored in all patients to a mean 73\u00b0 (range 70\u201380) after a mean follow\u2010up of 16\u2009months (range 6\u201326).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Triceps\u2010to\u2010teres minor motor branch transfer is not indicated as primary surgery for NBPI. However, they can be effective in children in whom primary surgery has failed to restore aGHER, even if the spinal accessory nerve is unavailable for transfer to the infraspinatus motor branch.<\/jats:p><\/jats:sec>","DOI":"10.1002\/micr.30879","type":"journal-article","created":{"date-parts":[[2022,3,2]],"date-time":"2022-03-02T15:50:55Z","timestamp":1646236255000},"page":"533-537","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Triceps to teres minor motor nerve transfer to restore glenohumeral external rotation after neonatal brachial plexus injury"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1759-9868","authenticated-orcid":false,"given":"Francisco","family":"Soldado","sequence":"first","affiliation":[{"name":"Pediatric Hand Surgery and Microsurgery, Barcelona Children's Hospital, HM Nens, HM Hospitales  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6820-3494","authenticated-orcid":false,"given":"Sergi","family":"Barrera\u2010Ochoa","sequence":"additional","affiliation":[{"name":"Hand Surgery Unit, ICATME, Centre Medic Quiron Deixeus  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pablo","family":"Romero\u2010Larrauri","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Surgery Service  Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Trong\u2010Quynh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Pediatric Orthopedic Unit, Saint Paul Hospital  Hanoi Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paula","family":"Diaz\u2010Gallardo","sequence":"additional","affiliation":[{"name":"Pediatric Hand Surgery and Microsurgery, Barcelona Children's Hospital, HM Nens, HM Hospitales  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jorge","family":"Kn\u00f6rr","sequence":"additional","affiliation":[{"name":"Pediatric Hand Surgery and Microsurgery, Barcelona Children's Hospital, HM Nens, HM Hospitales  Barcelona Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,2]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.neures.2017.05.001"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.3171\/2010.12.JNS101519"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2019.10.036"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.10.041"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(96)80058-9"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.hcl.2008.04.002"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/1753193416638999"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.19.00627"},{"key":"e_1_2_8_10_1","unstructured":"Paavilainen P.(2015).[Unpublished material] FESSH 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