{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,30]],"date-time":"2026-05-30T00:55:56Z","timestamp":1780102556675,"version":"3.54.0"},"reference-count":10,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JNS"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:p>Brachial plexus palsies of C7\u2013T1 result in the complete loss of hand function, including finger and thumb flexion and extension as well as intrinsic muscle function. The task of reanimating such a hand remains challenging, and so far there has been no reliable neurological reconstructive method for restoring hand function. The authors aimed to establish a reliable strategy to reanimate the paralyzed hand. Two patients had sustained C7\u2013T1 complete lesions. In the first stage of the operative procedure, a supinator motor branch to posterior interosseous nerve transfer was performed with brachialis motor branch transfer to the median nerve to restore finger and thumb extension and flexion. In the second stage, the intact brachioradialis muscle was used for abductorplasty to restore thumb opposition. Both patients regained good finger extension and flexion. Thumb opposition was also attained, and overall hand function was satisfactory. The described strategy proved effective and reliable in restoring hand function after C7\u2013T1 brachial plexus palsies.<\/jats:p>","DOI":"10.3171\/2014.7.jns13594","type":"journal-article","created":{"date-parts":[[2014,8,29]],"date-time":"2014-08-29T14:07:44Z","timestamp":1409321264000},"page":"1264-1270","source":"Crossref","is-referenced-by-count":17,"title":["Restoration of hand function in C7\u2013T1 brachial plexus palsies using a staged approach with nerve and tendon transfer"],"prefix":"10.3171","volume":"121","author":[{"given":"Cheng-Gang","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Hand Surgery, Huashan Hospital, Fudan University Medical Center;"},{"name":"Key Laboratory of Hand Reconstruction, Ministry of Health; and"},{"name":"Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhen","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Huashan Hospital, Fudan University Medical Center;"},{"name":"Key Laboratory of Hand Reconstruction, Ministry of Health; and"},{"name":"Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Dong","family":"Gu","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery, Huashan Hospital, Fudan University Medical Center;"},{"name":"Key Laboratory of Hand Reconstruction, Ministry of Health; and"},{"name":"Shanghai Key Laboratory of Peripheral Nerve and Microsurgery, Shanghai, People's Republic of China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"key":"b1-jns13594","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"190","DOI":"10.1016\/j.jhsa.2005.09.020","article-title":"Brachialis muscle transfer to reconstruct finger flexion or wrist extension in brachial plexus palsy","volume":"31","author":"Bertelli","year":"2006"},{"key":"b2-jns13594","series-title":"J Hand Surg Eur Vol","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1177\/1753193409350251","article-title":"Transfer of the supinator muscle to the extensor pollicis brevis for thumb extension reconstruction in C7-T1 brachial plexus palsy","volume":"35","author":"Bertelli","year":"2010"},{"key":"b3-jns13594","series-title":"J Bone Joint Surg Br","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1302\/0301-620X.80B1.0800117","article-title":"Free muscle transfer can restore hand function after injuries of the lower brachial plexus","volume":"80","author":"Doi","year":"1998"},{"key":"b4-jns13594","series-title":"J Neurosurg","doi-asserted-by":"publisher","first-page":"113","DOI":"10.3171\/2010.1.JNS091441","article-title":"Clinical use of supinator motor branch transfer to the posterior interosseous nerve in C7-T1 brachial plexus palsies. 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