{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:30:24Z","timestamp":1763771424043,"version":"3.45.0"},"reference-count":19,"publisher":"Georg Thieme Verlag KG","issue":"04","license":[{"start":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:00:00Z","timestamp":1763683200000},"content-version":"vor","delay-in-days":112,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Resumo<\/jats:title>\n                  <jats:p>Avaliar os resultados da transfer\u00eancia do nervo fr\u00eanico em pacientes com les\u00e3o traum\u00e1tica total do plexo braquial, especialmente a flex\u00e3o do cotovelo e a fun\u00e7\u00e3o respirat\u00f3ria.<\/jats:p>\n                  <jats:p>Trata-se de uma s\u00e9rie de casos de 16 pacientes submetidos \u00e0 transfer\u00eancia do nervo fr\u00eanico entre 2014 e 2021. Foram inclu\u00eddos pacientes com mais de 18 anos, operados havia mais de 6 meses, e sem outras doen\u00e7as ortop\u00e9dicas do membro superior. A for\u00e7a de flex\u00e3o do cotovelo foi avaliada pela escala do Medical Research Council (MRC), por dinamometria isocin\u00e9tica e por eletromiografia. A fun\u00e7\u00e3o respirat\u00f3ria foi analisada por espirometria.<\/jats:p>\n                  <jats:p>Os pacientes eram principalmente homens jovens que sofreram acidentes com motocicletas. Na escala do MRC, 37,5% dos pacientes atingiram o n\u00edvel III, e 43,8%, o n\u00edvel IV. Em m\u00e9dia, a for\u00e7a de flex\u00e3o do cotovelo foi de 9,1% em compara\u00e7\u00e3o \u00e0 do bra\u00e7o n\u00e3o acometido. O estudo identificou d\u00e9ficits inconsistentes na fun\u00e7\u00e3o respirat\u00f3ria, sem comprometimento grave da capacidade vital for\u00e7ada e do volume expirat\u00f3rio for\u00e7ado. N\u00e3o houve relatos de sintomas respirat\u00f3rios. A ativa\u00e7\u00e3o involunt\u00e1ria do b\u00edceps braquial foi observada durante ciclos respirat\u00f3rios for\u00e7ados, com pico ap\u00f3s um per\u00edodo inicial de recupera\u00e7\u00e3o.<\/jats:p>\n                  <jats:p>A transfer\u00eancia do nervo fr\u00eanico foi eficaz na recupera\u00e7\u00e3o da flex\u00e3o do cotovelo na maioria dos pacientes. Observamos sinais de neuroplasticidade que melhoraram o controle motor do bra\u00e7o ao longo do tempo. Os pacientes n\u00e3o apresentaram evid\u00eancias de comprometimento pulmonar grave.<\/jats:p>","DOI":"10.1055\/s-0045-1811931","type":"journal-article","created":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:28:07Z","timestamp":1763771287000},"page":"001-007","source":"Crossref","is-referenced-by-count":0,"title":["Recupera\u00e7\u00e3o da flex\u00e3o do cotovelo e fun\u00e7\u00e3o respirat\u00f3ria em pacientes com les\u00e3o traum\u00e1tica total do plexo braquial tratados com transfer\u00eancia do nervo fr\u00eanico"],"prefix":"10.1055","volume":"60","author":[{"given":"Giovanni V.C.","family":"Guedes","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa Neuromuscular, Divis\u00e3o de Ensino e Pesquisa, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rog\u00e9rio R.","family":"Visconti","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa Neuromuscular, Divis\u00e3o de Ensino e Pesquisa, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rudolf N.","family":"Kobig","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa Neuromuscular, Divis\u00e3o de Ensino e Pesquisa, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o A. M.","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa Neuromuscular, Divis\u00e3o de Ensino e Pesquisa, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8107-659X","authenticated-orcid":false,"given":"Conrado T.","family":"Laett","sequence":"additional","affiliation":[{"name":"Laborat\u00f3rio de Pesquisa Neuromuscular, Divis\u00e3o de Ensino e Pesquisa, Instituto Nacional de Traumatologia e Ortopedia Jamil Haddad, Rio de Janeiro, RJ, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,21]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"publisher","first-page":"443","DOI":"10.1007\/s10143-018-1009-2","article-title":"Epidemiology, etiology, and types of severe adult brachial plexus injuries requiring surgical repair: systematic review and meta-analysis","volume":"43","author":"R Kaiser","year":"2020","journal-title":"Neurosurg Rev"},{"issue":"10","key":"ref2","doi-asserted-by":"publisher","first-page":"950.e1","DOI":"10.1016\/j.jhsa.2018.02.019","article-title":"The Psychological Impact of Adult Traumatic Brachial Plexus Injury","volume":"43","author":"Z A Landers","year":"2018","journal-title":"J Hand Surg Am"},{"issue":"16","key":"ref3","doi-asserted-by":"publisher","first-page":"e80","DOI":"10.2106\/JBJS.18.00658","article-title":"Indirect Cost of Traumatic Brachial Plexus Injuries in the United States","volume":"101","author":"T S Hong","year":"2019","journal-title":"J Bone Joint Surg Am"},{"issue":"19","key":"ref4","doi-asserted-by":"publisher","first-page":"705","DOI":"10.5435\/JAAOS-D-18-00433","article-title":"Adult Traumatic Brachial Plexus Injuries","volume":"27","author":"S S Noland","year":"2019","journal-title":"J Am Acad Orthop Surg"},{"issue":"02","key":"ref5","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1142\/S2424835518500170","article-title":"Oberlin's Transfer: Long Term Outcomes","volume":"23","author":"K Verdins","year":"2018","journal-title":"J Hand Surg Asian Pac Vol"},{"issue":"02","key":"ref6","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1097\/00000658-194802000-00009","article-title":"Concerning Surgical Treatment of Traumatic Injury to the Upper Division of the Brachial Plexus (Erb's Type)","volume":"127","author":"A Lurje","year":"1948","journal-title":"Ann Surg"},{"issue":"04","key":"ref7","doi-asserted-by":"publisher","first-page":"206","DOI":"10.1007\/s11552-007-9050-6","article-title":"Restoration of elbow flexion by transfer of the phrenic nerve to musculocutaneous nerve after brachial plexus injuries","volume":"2","author":"R Monreal","year":"2007","journal-title":"Hand (N Y)"},{"issue":"01","key":"ref8","doi-asserted-by":"publisher","first-page":"165","DOI":"10.3171\/2018.4.JNS173248","article-title":"Phrenic to musculocutaneous nerve transfer for traumatic brachial plexus injuries: analyzing respiratory effects on elbow flexion control","volume":"131","author":"M Socolovsky","year":"2019","journal-title":"J Neurosurg"},{"issue":"09","key":"ref9","doi-asserted-by":"publisher","first-page":"1793","DOI":"10.1007\/s00701-016-2855-8","article-title":"Outcome following phrenic nerve transfer to musculocutaneous nerve in patients with traumatic brachial palsy: a qualitative systematic review","volume":"158","author":"MdM Cardoso","year":"2016","journal-title":"Acta Neurochir (Wien)"},{"issue":"03","key":"ref10","doi-asserted-by":"publisher","first-page":"464","DOI":"10.3171\/jns.2005.103.3.0464","article-title":"Pulmonary function after complete unilateral phrenic nerve transection","volume":"103","author":"W D Xu","year":"2005","journal-title":"J Neurosurg"},{"issue":"01","key":"ref11","first-page":"3","article-title":"The interpretation of spirometry on pulmonary care: until where can we go with the use of its parameters","volume":"24","author":"A M Trindade","year":"2015","journal-title":"Pulm\u00e3o RJ"},{"issue":"06","key":"ref12","doi-asserted-by":"publisher","first-page":"719","DOI":"10.1590\/s0100-879x1999000600007","article-title":"Reference values for lung function tests. II. Maximal respiratory pressures and voluntary ventilation","volume":"32","author":"J A Neder","year":"1999","journal-title":"Braz J Med Biol Res"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"305","DOI":"10.25259\/SNI_596_2021","article-title":"Neurotization of musculocutaneous nerve with intercostal nerve versus phrenic nerve - A retrospective comparative study","volume":"13","author":"T Hussain","year":"2022","journal-title":"Surg Neurol Int"},{"issue":"08","key":"ref14","doi-asserted-by":"publisher","first-page":"1913","DOI":"10.1007\/s00701-020-04454-y","article-title":"Differences in strength fatigue when using different donors in traumatic brachial plexus injuries","volume":"162","author":"M Socolovsky","year":"2020","journal-title":"Acta Neurochir (Wien)"},{"issue":"03","key":"ref15","doi-asserted-by":"publisher","first-page":"523","DOI":"10.3171\/jns.2002.96.3.0523","article-title":"Brachial plexus neurotization with donor phrenic nerves and its effect on pulmonary function","volume":"96","author":"W Luedemann","year":"2002","journal-title":"J Neurosurg"},{"issue":"01","key":"ref16","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1016\/s0266-7681(03)00210-9","article-title":"Pulmonary and biceps function after intercostal and phrenic nerve transfer for brachial plexus injuries","volume":"29","author":"P Chalidapong","year":"2004","journal-title":"J Hand Surg [Br]"},{"issue":"01","key":"ref17","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1111\/j.1447-073X.2007.00201.x","article-title":"Morphological study of the ansa cervicalis and the phrenic nerve","volume":"83","author":"S Banneheka","year":"2008","journal-title":"Anat Sci Int"},{"issue":"05","key":"ref18","doi-asserted-by":"publisher","first-page":"1870","DOI":"10.1016\/j.athoracsur.2006.05.098","article-title":"Surgical anatomy of the accessory phrenic nerve","volume":"82","author":"M Loukas","year":"2006","journal-title":"Ann Thorac Surg"},{"issue":"06","key":"ref19","doi-asserted-by":"publisher","first-page":"1077","DOI":"10.1007\/s00701-015-2387-7","article-title":"The phrenic nerve as a donor for brachial plexus injuries: is it safe and effective? Case series and literature analysis","volume":"157","author":"M Socolovsky","year":"2015","journal-title":"Acta Neurochir (Wien)"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0045-1811931.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,22]],"date-time":"2025-11-22T00:28:13Z","timestamp":1763771293000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0045-1811931"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8]]},"references-count":19,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,11,4]]},"published-print":{"date-parts":[[2025,8]]}},"alternative-id":["s00451811931"],"URL":"https:\/\/doi.org\/10.1055\/s-0045-1811931","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"value":"0102-3616","type":"print"},{"value":"1982-4378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,8]]}}}