{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T13:13:16Z","timestamp":1762002796264,"version":"build-2065373602"},"reference-count":19,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec><jats:title>OBJECTIVE<\/jats:title><jats:p>The purpose of this study was to compare shoulder abduction and external rotation (ER) after single-nerve repair of the upper trunk alone versus dual-nerve repair of both the upper trunk and the suprascapular nerve.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS<\/jats:title><jats:p>A retrospective chart review of a single surgeon\u2019s experience repairing obstetrical brachial plexus injuries between June 1995 and June 2015 was performed. Eight patients underwent repair of the upper trunk alone, and 10 patients underwent repair of the upper trunk and the suprascapular nerve. Shoulder abduction and ER ranges of motion (ROMs) (in degrees) were recorded preoperatively and postoperatively. Postoperative ROM and the difference in ROM gained after surgery were compared by independent t-test analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS<\/jats:title><jats:p>The mean follow-up time was 161.4 weeks (range 62\u2013514 weeks, SD 124.0 weeks). The mean patient age at the time of surgery was 31.3 weeks (range 19.9\u201347.0 weeks, SD 6.9 weeks). The mean postoperative shoulder abduction ROMs were 145.0\u00b0 (range 85\u00b0\u2013180\u00b0, SD 39.4\u00b0) after single-nerve repair and 134.0\u00b0 (range 90\u00b0\u2013180\u00b0, SD 30.3\u00b0) after dual-nerve repair (p = 0.51). The mean postoperative shoulder ER ROMs were 67.5\u00b0 (range 10\u00b0\u201395\u00b0, SD 28.8\u00b0) after single-nerve repair and 72.0\u00b0 (range 10\u00b0\u201395\u00b0, SD 31.3\u00b0) after dual-nerve repair (p = 0.76).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS<\/jats:title><jats:p>The authors found no difference in shoulder abduction and ER between patients who underwent single-nerve repair of the upper trunk alone and those who underwent dual-nerve repair of both the upper trunk and the suprascapular nerve.<\/jats:p><\/jats:sec>","DOI":"10.3171\/2017.11.peds17493","type":"journal-article","created":{"date-parts":[[2018,2,23]],"date-time":"2018-02-23T14:55:23Z","timestamp":1519397723000},"page":"511-515","source":"Crossref","is-referenced-by-count":4,"title":["Restoration of shoulder motion using single- versus dual-nerve repair in obstetrical brachial plexus injury"],"prefix":"10.3171","volume":"21","author":[{"given":"Alain Joe","family":"Azzi","sequence":"first","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Royal Victoria Hospital, McGill University, Montreal, Quebec; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hassan","family":"AlNaeem","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Royal Victoria Hospital, McGill University, Montreal, Quebec; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camille","family":"Aubin-Lemay","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Royal Victoria Hospital, McGill University, Montreal, Quebec; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julie Chakriya","family":"Kvann","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Royal Victoria Hospital, McGill University, Montreal, Quebec; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Alam","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Royal Victoria Hospital, McGill University, Montreal, Quebec; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helene","family":"Retrouvey","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Toronto General Hospital, Toronto, Ontario, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salah","family":"Aldekhayel","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Royal Victoria Hospital, McGill University, Montreal, Quebec; and"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teanoosh","family":"Zadeh","sequence":"additional","affiliation":[{"name":"Division of Plastic & Reconstructive Surgery, Royal Victoria Hospital, McGill University, Montreal, Quebec; and"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"b1","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"256e","DOI":"10.1097\/PRS.0000000000002368","article-title":"A comparison of outcomes of triceps motor branch-to-axillary nerve transfer or sural nerve interpositional grafting for isolated axillary nerve injury","volume":"138","author":"Baltzer HL","year":"2016","unstructured":"Baltzer HL, Kircher MF, Spinner RJ, Bishop AT, Shin AY: A comparison of outcomes of triceps motor branch-to-axillary nerve transfer or sural nerve interpositional grafting for isolated axillary nerve injury. Plast Reconstr Surg 138:256e\u2013264e, 201610.1097\/PRS.0000000000002368"},{"key":"b2","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"769","DOI":"10.1016\/j.jhsa.2010.01.004","article-title":"Nerve root grafting and distal nerve transfers for C5\u2013C6 brachial plexus injuries","volume":"35","author":"Bertelli JA","year":"2010","unstructured":"Bertelli JA, Ghizoni MF: Nerve root grafting and distal nerve transfers for C5\u2013C6 brachial plexus injuries. J Hand Surg Am 35:769\u2013775, 201010.1016\/j.jhsa.2010.01.00420346595"},{"key":"b3","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"1470","DOI":"10.1097\/PRS.0b013e3181881fc5","article-title":"Evaluation of single-, double-, and triple-nerve transfers for shoulder abduction in 90 patients with supraclavicular brachial plexus injury","volume":"122","author":"Cardenas-Mejia A","year":"2008","unstructured":"Cardenas-Mejia A, O\u2019Boyle CP, Chen KT, Chuang DC: Evaluation of single-, double-, and triple-nerve transfers for shoulder abduction in 90 patients with supraclavicular brachial plexus injury. Plast Reconstr Surg 122:1470\u20131478, 20081897173110.1097\/PRS.0b013e3181881fc5"},{"key":"b4","series-title":"Ann Plast Surg","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1097\/SAP.0000000000000747","article-title":"Dual nerve transfers for restoration of shoulder function after brachial plexus avulsion injury","volume":"76","author":"Chu B","year":"2016","unstructured":"Chu B, Wang H, Chen L, Gu Y, Hu S: Dual nerve transfers for restoration of shoulder function after brachial plexus avulsion injury. Ann Plast Surg 76:668\u2013673, 201610.1097\/SAP.000000000000074726835823"},{"key":"b5","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"122","DOI":"10.1097\/00006534-199507000-00019","article-title":"Restoration of shoulder abduction by nerve transfer in avulsed brachial plexus injury: evaluation of 99 patients with various nerve transfers","volume":"96","author":"Chuang DC","year":"1995","unstructured":"Chuang DC, Lee GW, Hashem F, Wei FC: Restoration of shoulder abduction by nerve transfer in avulsed brachial plexus injury: evaluation of 99 patients with various nerve transfers. Plast Reconstr Surg 96:122\u2013128, 1995760409110.1097\/00006534-199507000-00019"},{"key":"b6","series-title":"J Plast Reconstr Aesthet Surg","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1016\/j.bjps.2012.06.012","article-title":"Double nerve transfer for elbow flexion in obstetric brachial plexus injury: a case report","volume":"66","author":"Estrella EP","year":"2013","unstructured":"Estrella EP, Mella PM: Double nerve transfer for elbow flexion in obstetric brachial plexus injury: a case report. J Plast Reconstr Aesthet Surg 66:423\u2013426, 20132286798310.1016\/j.bjps.2012.06.012"},{"key":"b7","series-title":"J Bone Joint Surg Am","doi-asserted-by":"publisher","first-page":"819","DOI":"10.2106\/JBJS.I.01602","article-title":"Comparison of nerve transfers and nerve grafting for traumatic upper plexus palsy: a systematic review and analysis","volume":"93","author":"Garg R","year":"2011","unstructured":"Garg R, Merrell GA, Hillstrom HJ, Wolfe SW: Comparison of nerve transfers and nerve grafting for traumatic upper plexus palsy: a systematic review and analysis. J Bone Joint Surg Am 93:819\u2013829, 20112154367210.2106\/JBJS.I.01602"},{"key":"b8","series-title":"J Hand Surg Eur","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1177\/1753193416663887","article-title":"Distal transfers as a primary treatment in obstetric brachial plexus palsy: a series of 20 cases","volume":"41","author":"Ghanghurde BA","year":"2016","unstructured":"Ghanghurde BA, Mehta R, Ladkat KM, Raut BB, Thatte MR: Distal transfers as a primary treatment in obstetric brachial plexus palsy: a series of 20 cases. J Hand Surg Eur Vol. 41:875\u2013881, 201610.1177\/1753193416663887"},{"key":"b9","series-title":"J Plast Reconstr Aesthet Surg","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1016\/j.bjps.2005.09.008","article-title":"Shoulder function following partial spinal accessory nerve transfer for brachial plexus birth injury","volume":"59","author":"Grossman JA","year":"2006","unstructured":"Grossman JA, Di Taranto P, Alfonso D, Ramos LE, Price AE: Shoulder function following partial spinal accessory nerve transfer for brachial plexus birth injury. J Plast Reconstr Aesthet Surg 59:373\u2013375, 20061675625210.1016\/j.bjps.2005.09.008"},{"key":"b10","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"985e","DOI":"10.1097\/PRS.0b013e3182a97e13","article-title":"Distal nerve transfers are effective in treating patients with upper trunk obstetrical brachial plexus injuries: an early experience","volume":"132","author":"Ladak A","year":"2013","unstructured":"Ladak A, Morhart M, O\u2019Grady K, Wong JN, Chan KM, Watt MJ, : Distal nerve transfers are effective in treating patients with upper trunk obstetrical brachial plexus injuries: an early experience. Plast Reconstr Surg 132:985e\u2013992e, 201310.1097\/PRS.0b013e3182a97e13"},{"key":"b11","series-title":"J Hand Surg Am","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1053\/jhsu.2001.21518","article-title":"Results of nerve transfer techniques for restoration of shoulder and elbow function in the context of a meta-analysis of the English literature","volume":"26","author":"Merrell GA","year":"2001","unstructured":"Merrell GA, Barrie KA, Katz DL, Wolfe SW: Results of nerve transfer techniques for restoration of shoulder and elbow function in the context of a meta-analysis of the English literature. J Hand Surg Am 26:303\u2013314, 20011127957810.1053\/jhsu.2001.21518"},{"key":"b12","series-title":"The Paralysed Hand","first-page":"116","article-title":"Obstetric brachial plexus injuries","author":"Narakas AO","year":"1987","unstructured":"Narakas AO: Obstetric brachial plexus injuries, in Lamb DW (ed): The Paralysed Hand. Edinburgh: Churchill Livingstone, 1987, pp 116\u2013135"},{"key":"b13","series-title":"Clin Orthop Relat Res","first-page":"43","article-title":"Neurotization in brachial plexus injuries: indication and results","volume":"237","author":"Narakas AO","year":"1998","unstructured":"Narakas AO, Hentz VR: Neurotization in brachial plexus injuries: indication and results. Clin Orthop Relat Res 237:43\u201356, 1998"},{"key":"b14","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"1431","DOI":"10.1097\/PRS.0000000000001096","article-title":"Spinal accessory nerve transfer outperforms cervical root grafting for suprascapular nerve reconstruction in neonatal brachial plexus palsy","volume":"135","author":"Seruya M","year":"2015","unstructured":"Seruya M, Shen SH, Fuzzard S, Coombs CJ, McCombe DB, Johnstone BR: Spinal accessory nerve transfer outperforms cervical root grafting for suprascapular nerve reconstruction in neonatal brachial plexus palsy. Plast Reconstr Surg 135:1431\u20131438, 201510.1097\/PRS.000000000000109625835244"},{"key":"b15","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"1457","DOI":"10.1097\/PRS.0b013e3181881f70","article-title":"Shoulder function following primary axillary nerve reconstruction in obstetrical brachial plexus patients","volume":"122","author":"Terzis JK","year":"2008","unstructured":"Terzis JK, Kokkalis ZT: Shoulder function following primary axillary nerve reconstruction in obstetrical brachial plexus patients. Plast Reconstr Surg 122:1457\u20131469, 20081897173010.1097\/PRS.0b013e3181881f70"},{"key":"b16","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"1267","DOI":"10.1097\/01.prs.0000305537.74910.bf","article-title":"Outcomes with suprascapular nerve reconstruction in obstetrical brachial plexus patients","volume":"121","author":"Terzis JK","year":"2008","unstructured":"Terzis JK, Kostas I: Outcomes with suprascapular nerve reconstruction in obstetrical brachial plexus patients. Plast Reconstr Surg 121:1267\u20131278, 200810.1097\/01.prs.0000305537.74910.bf18349646"},{"key":"b17","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"613","DOI":"10.1097\/01.prs.0000203410.35395.fa","article-title":"Suprascapular nerve reconstruction in 118 cases of adult posttraumatic brachial plexus","volume":"117","author":"Terzis JK","year":"2006","unstructured":"Terzis JK, Kostas I: Suprascapular nerve reconstruction in 118 cases of adult posttraumatic brachial plexus. Plast Reconstr Surg 117:613\u2013629, 20061646234810.1097\/01.prs.0000203410.35395.fa"},{"key":"b18","series-title":"Plast Reconstr Surg","doi-asserted-by":"publisher","first-page":"2391","DOI":"10.1097\/PRS.0b013e3182131c7c","article-title":"Suprascapular nerve reconstruction in obstetrical brachial plexus palsy: spinal accessory nerve transfer versus C5 root grafting","volume":"127","author":"Tse R","year":"2011","unstructured":"Tse R, Marcus JR, Curtis CG, Dupuis A, Clarke HM: Suprascapular nerve reconstruction in obstetrical brachial plexus palsy: spinal accessory nerve transfer versus C5 root grafting. Plast Reconstr Surg 127:2391\u20132396, 201110.1097\/PRS.0b013e3182131c7c21617471"},{"key":"b19","series-title":"Neurosurgery","doi-asserted-by":"publisher","first-page":"858","DOI":"10.1227\/01.NEU.0000232988.46219.E4","article-title":"Accessory nerve to suprascapular nerve transfer to restore shoulder exorotation in otherwise spontaneously recovered obstetric brachial plexus lesions","volume":"59","author":"van Ouwerkerk WJ","year":"2006","unstructured":"van Ouwerkerk WJ, Uitdehaag BM, Strijers RL, Frans N, Holl K, Fellner FA, : Accessory nerve to suprascapular nerve transfer to restore shoulder exorotation in otherwise spontaneously recovered obstetric brachial plexus lesions. Neurosurgery 59:858\u2013869, 200610.1227\/01.NEU.0000232988.46219.E4"}],"container-title":["Journal of Neurosurgery: Pediatrics"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/21\/5\/article-p511.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/21\/5\/article-p511.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-pediatr\/21\/5\/article-p511.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,15]],"date-time":"2023-04-15T13:44:42Z","timestamp":1681566282000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-pediatr\/21\/5\/article-p511.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5]]},"references-count":19,"journal-issue":{"issue":"5"},"URL":"https:\/\/doi.org\/10.3171\/2017.11.peds17493","relation":{},"ISSN":["1933-0707","1933-0715"],"issn-type":[{"type":"print","value":"1933-0707"},{"type":"electronic","value":"1933-0715"}],"subject":[],"published":{"date-parts":[[2018,5]]}}}