{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T17:53:54Z","timestamp":1786125234903,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2018,4,3]],"date-time":"2018-04-03T00:00:00Z","timestamp":1522713600000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":["Operative Surg.","ONSURG"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>BACKGROUND AND IMPORTANCE<\/jats:title>\n                    <jats:p>The use of nerve transfers to restore nerve function following traumatic avulsion injuries has been described, though there is still a paucity in the literature documenting technique and long-term outcomes for these procedures. The double Oberlin nerve transfer involves transferring fascicles from the median and ulnar nerves to the musculocutaneous nerve to restore elbow flexion in patients with a C5-C6 avulsion injury. The purpose of this case report is to present our indications and technique for a double Oberlin transfer in addition to exhibiting video footage at follow-up time points documenting the incremental improvement in elbow flexion following the injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CLINICAL PRESENTATION<\/jats:title>\n                    <jats:p>The patient is a 25-yr old, left-hand dominant male who presented 5 mo following a motor vehicle accident. He had 0\/5 biceps muscle strength on the left with a computed tomography myelogram that demonstrated pseudomeningoceles from C2-C3 to C7-T1 with root avulsions of C5 and C6. He was subsequently indicated for a double Oberlin nerve transfer to restore elbow flexion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>In this case report, we present our technique and outcomes for a double Oberlin transfer with restoration of elbow flexion at 1-yr follow-up for a patient with traumatic brachial plexus injury. We believe that the double Oberlin transfer serves as a safe and effective method to restore elbow flexion in this patient population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ons\/opy064","type":"journal-article","created":{"date-parts":[[2018,4,2]],"date-time":"2018-04-02T22:33:40Z","timestamp":1522708420000},"page":"23-26","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Case Report: Double Oberlin Nerve Transfer to Restore Elbow Flexion Following C5-C6 Avulsion Injury"],"prefix":"10.1227","volume":"16","author":[{"given":"Michael J","family":"Moses","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amoz Z","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dylan T","family":"Lowe","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alice","family":"Chu","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Themistocles S","family":"Protopsaltis","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hospital for Joint Diseases, NYU Langone Medical Center, New York, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2019,1]]},"reference":[{"issue":"2","key":"bib1-20240909","doi-asserted-by":"crossref","first-page":"232","DOI":"10.1016\/0363-5023(94)90011-6","article-title":"Nerve transfer to biceps muscle using a part of ulnar nerve for C5 C6 avulsion of the brachial plexus: anatomical study and report of four cases","volume":"19A","author":"Oberlin","year":"1994","journal-title":"J Hand Surg Am."},{"issue":"5","key":"bib2-20240909","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1016\/j.jhsa.2005.05.014","article-title":"Results of reinnervation of the biceps and brachialis muscles with a double fascicular transfer for elbow flexion","volume":"30","author":"Mackinnon","year":"2005","journal-title":"J Hand Surg Am."},{"issue":"1","key":"bib3-20240909","doi-asserted-by":"crossref","first-page":"195","DOI":"10.3171\/2014.9.JNS132823","article-title":"Upper brachial plexus injury in adults: comparative effectiveness of different repair techniques","volume":"122","author":"Zarina","year":"2015","journal-title":"J Neurosurg."},{"issue":"3","key":"bib4-20240909","doi-asserted-by":"crossref","first-page":"182","DOI":"10.1002\/micr.20037","article-title":"Oberlin's ulnar nerve transfer to the biceps motor nerve in obstetric brachial plexus palsy: Indications, and good and bad results","volume":"24","author":"Noaman","year":"2004","journal-title":"Microsurgery."},{"issue":"2","key":"bib5-20240909","doi-asserted-by":"crossref","first-page":"313","DOI":"10.3171\/jns.2003.98.2.0313","article-title":"Nerve transfers to the biceps and brachialis branches to improve elbow flexion strength after brachial plexus injuries","volume":"98","author":"Tung","year":"2003","journal-title":"J Neurosurg."},{"issue":"1","key":"bib6-20240909","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1007\/s11420-006-9027-y","article-title":"Nerve transfers for adult traumatic brachial 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limb function in cervical spinal cord injury","volume":"43","author":"Mandeville","year":"2017","journal-title":"Neurosurg Focus."},{"issue":"5","key":"bib10-20240909","doi-asserted-by":"crossref","first-page":"524","DOI":"10.1016\/j.clineuro.2012.02.055","article-title":"Restorative neurology: past, present, and future","volume":"114","author":"Brown","year":"2012","journal-title":"Clin Neurol Neurosurg."},{"issue":"5","key":"bib11-20240909","doi-asserted-by":"crossref","first-page":"489","DOI":"10.1016\/j.clineuro.2012.03.013","article-title":"Neuromodulation of lower limb motor control in restorative neurology","volume":"114","author":"Minassian","year":"2012","journal-title":"Clin Neurol Neurosurg."}],"container-title":["Operative 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