{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T00:03:58Z","timestamp":1777853038426,"version":"3.51.4"},"reference-count":30,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2015,7,3]],"date-time":"2015-07-03T00:00:00Z","timestamp":1435881600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2016,2]]},"abstract":"<jats:p>Cervical root avulsions are the worst pattern of injury in obstetrical brachial plexus injury (OBPI). The prognosis is poor and the treatment is mainly surgical with extraplexual neurotizations or muscle transfers. We present the outcomes of a technique performed in our institution to treat C5\u2013C6 avulsion in obstetrical brachial plexus injury. This technique consists of a total ipsilateral C7 neurotization to the upper trunk. Ten babies with isolated C5\u2013C6 root avulsion were operated on; we were able to review nine of them at over 12\u2009months follow-up. The shoulder and the elbow function were assessed, as well as the Mallet Score. The mean follow-up was 9.2\u2009years (SD 5.7). After a follow-up of 6\u2009years, elbow flexion was restored with a range of motion \u2a7e130\u00b0 and a motor function \u2a7eM3 in all patients. The average Mallet score was 18.1 (SD 1.2). This approach appears to be a viable alternative to extraplexual neurotizations for the treatment of C5\u2013C6 nerve root avulsion.<\/jats:p>","DOI":"10.1177\/1753193415593493","type":"journal-article","created":{"date-parts":[[2015,7,3]],"date-time":"2015-07-03T22:20:46Z","timestamp":1435962046000},"page":"185-190","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["Isolated C5\u2013C6 avulsion in obstetric brachial plexus palsy treated by ipsilateral C7 neurotization to the upper trunk: outcomes at a mean follow-up of 9\u2009years"],"prefix":"10.1177","volume":"41","author":[{"given":"E.","family":"Gibon","sequence":"first","affiliation":[{"name":"Department of Paediatric Orthopaedics, Armand Trousseau Hospital, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Romana","sequence":"additional","affiliation":[{"name":"Department of Paediatric Orthopaedics, Armand 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