{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T21:43:48Z","timestamp":1776980628913,"version":"3.51.4"},"reference-count":15,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,12,1]],"date-time":"2024-12-01T00:00:00Z","timestamp":1733011200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T00:00:00Z","timestamp":1730332800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100015690","name":"Universitas Padjadjaran","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100015690","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>The functional deficits resulting from traumatic brachial plexus damage are substantial. In this study, we provide a clinical case with the successful restoration of elbow and shoulder function following a bipolar latissimus dorsi muscle transfer procedure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>A male patient, aged 26, presented at the outpatient clinic with a primary concern of left upper limb weakness that had persisted for a duration of 1.5 years subsequent to an industrial incident. The patient's motor function was assessed as M0 for shoulder abduction and elbow flexion, indicating a range of motion of zero degrees for both movements. Additionally, the Mayo Elbow Score (MES) measurement was recorded as 60. Persistent tingling feelings were observed in the wrist and hand. The neurological assessment revealed a partial impairment of motor function in the radial, median, and ulnar nerves.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>The electromyographic assessment provided evidence and substantiated the diagnosis of an incomplete left brachial plexopathy. Prompt restoration of elbow flexion was observed on the initial day subsequent to the surgery, accompanied by a minor degree of shoulder abduction. At the six-month mark, the patient demonstrates the ability to execute a 100-degree flexion of the elbow and a 30-degree abduction of the shoulder, exhibiting motor strength at the M4 level.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Following a late brachial plexus injury, the utilization of a bipolar latissimus dorsi muscle flap has demonstrated an exceptional outcome in the context of elbow reconstruction. The preoperative evaluation of donor muscle strength will serve as a reliable indicator for predicting a favorable postoperative result.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110554","type":"journal-article","created":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T02:54:11Z","timestamp":1730775251000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Restoration of elbow flexion in patient with prolonged incomplete brachial plexus injury treated with bipolar latissimus dorsi muscle transfer: A case report"],"prefix":"10.1097","volume":"125","author":[{"given":"R.","family":"Malik","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Y.S.","family":"Robiady","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.R.","family":"Ichwan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"8","key":"R1-76-20260423","doi-asserted-by":"crossref","first-page":"620","DOI":"10.1136\/rapm-2020-101435","article-title":"Anatomy of the brachial plexus and its implications for daily clinical practice: regional anesthesia is applied anatomy","volume":"45","author":"Feigl,","year":"2020","journal-title":"Reg. Anesth. Pain Med."},{"issue":"4","key":"R2-76-20260423","first-page":"1333","article-title":"Timing of surgery in traumatic brachial plexus injury: a systematic review","volume":"130","author":"Martin,","year":"2019","journal-title":"J. Neurosurg."},{"key":"R3-76-20260423","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/726103","article-title":"Brachial plexus injuries in adults: evaluation and diagnostic approach","volume":"2014","author":"Sakellariou,","year":"2014","journal-title":"ISRN Orthop."},{"key":"R4-76-20260423","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1155\/2014\/314137","article-title":"Treatment options for brachial plexus injuries","volume":"2014","author":"Sakellariou,","year":"2014","journal-title":"ISRN Orthop."},{"issue":"3","key":"R5-76-20260423","doi-asserted-by":"crossref","first-page":"15","DOI":"10.1016\/j.injury.2008.06.008","article-title":"Restoration of elbow function in severe brachial plexus paralysis via muscle transfers","volume":"39","author":"Vekris,","year":"2008","journal-title":"Injury"},{"issue":"1","key":"R6-76-20260423","doi-asserted-by":"crossref","first-page":"84","DOI":"10.1016\/j.jse.2006.03.006","article-title":"Restoration of elbow function with pedicled latissimus dorsi myocutaneous flap transfer","volume":"16","author":"Kawamura,","year":"2007","journal-title":"J. Shoulder Elb. Surg."},{"issue":"5","key":"R7-76-20260423","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical Case REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int. J. Surg. Lond. Engl."},{"issue":"1","key":"R8-76-20260423","doi-asserted-by":"crossref","first-page":"26","DOI":"10.4103\/0972-2327.107686","article-title":"Brachial plexus injury in adults: diagnosis and surgical treatment strategies","volume":"16","author":"Thatte,","year":"2013","journal-title":"Ann. Indian Acad. Neurol."},{"key":"R9-76-20260423","first-page":"2","article-title":"Surgical treatment of brachial plexus injury","volume":"4","author":"Haninec,","year":"2017","journal-title":"Intech Open."},{"issue":"12","key":"R10-76-20260423","first-page":"1","article-title":"Hand\/peripheral nerve treatment trends of adult brachial plexus injury","volume":"7","author":"Mayer,","year":"2021","journal-title":"PRS Glob. Open."},{"issue":"9","key":"R11-76-20260423","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1097\/01.GOX.0000503172.30923.95","article-title":"Functional latissimus transfer for upper extremity reconstruction: a case report and review of the literature","volume":"4","author":"Sood,","year":"2016","journal-title":"Plast. Reconstr. Surg. - Glob. Open."},{"key":"R12-76-20260423","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.ijso.2019.05.002","article-title":"Evaluation of elbow function following bipolar latissimus dorsi flap in late partial brachial plexus injury: a case report","volume":"18","author":"Saleh,","year":"2019","journal-title":"Int. J. Surg. Open."},{"issue":"3","key":"R13-76-20260423","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1055\/s-0041-1739962","article-title":"Unipolar latissimus dorsi transfer for restoration of elbow flexion in residual post-traumatic brachial plexus palsy associated with distal humeral fractures","volume":"15","author":"Sadek,","year":"2023","journal-title":"J. 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