Direct transfer of C7 pectoral fascicles to the suprascapular nerve in C5/C6 brachial plexus palsies: an anatomical study
We investigated a technique to reconstruct the suprascapular nerve in patients with C5/C6 brachial plexus palsies, using pectoral fascicles from the ipsilateral C7 root. Using a supraclavicular approach in eight cadavers, the suprascapular nerve was placed side by side with an anterior quadrant fasc...
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| Veröffentlicht in: | The Journal of hand surgery, European volume European volume, 2019-07, Vol.44 (6), p.628-631 |
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| container_title | The Journal of hand surgery, European volume |
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| creator | Le Hanneur, Malo Masmejean, Emmanuel H. Lafosse, Thibault |
| description | We investigated a technique to reconstruct the suprascapular nerve in patients with C5/C6 brachial plexus palsies, using pectoral fascicles from the ipsilateral C7 root. Using a supraclavicular approach in eight cadavers, the suprascapular nerve was placed side by side with an anterior quadrant fascicle from the C7 root. Several criteria were assessed, including the fascicle length, the overlap between the two nerves and their respective diameters. The mean length of the C7 fascicles was 19.3 mm, with a mean overlap of 4.7 mm. The suprascapular nerve and the C7 fascicles had mean diameters of 2.2 mm and 2.1 mm, respectively. Pectoral fascicles from C7 seem to be an option for reconstruction of the suprascapular nerve in C5/C6 palsies. Clinical studies will be required to establish the potential limitations of this transfer, especially in cases with complex lesions of the suprascapular nerve. |
| doi_str_mv | 10.1177/1753193419835436 |
| format | Article |
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Using a supraclavicular approach in eight cadavers, the suprascapular nerve was placed side by side with an anterior quadrant fascicle from the C7 root. Several criteria were assessed, including the fascicle length, the overlap between the two nerves and their respective diameters. The mean length of the C7 fascicles was 19.3 mm, with a mean overlap of 4.7 mm. The suprascapular nerve and the C7 fascicles had mean diameters of 2.2 mm and 2.1 mm, respectively. Pectoral fascicles from C7 seem to be an option for reconstruction of the suprascapular nerve in C5/C6 palsies. Clinical studies will be required to establish the potential limitations of this transfer, especially in cases with complex lesions of the suprascapular nerve.</description><identifier>ISSN: 1753-1934</identifier><identifier>EISSN: 2043-6289</identifier><identifier>DOI: 10.1177/1753193419835436</identifier><identifier>PMID: 30871404</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Brachial Plexus - surgery ; Brachial Plexus Neuropathies - surgery ; Cadaver ; Cervical Vertebrae - innervation ; Female ; Humans ; Male ; Middle Aged ; Nerve Transfer - methods</subject><ispartof>The Journal of hand surgery, European volume, 2019-07, Vol.44 (6), p.628-631</ispartof><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c337t-198abccd7fd60332ec2d3d6f1f01843c88802a2e10c038a869d2b4c1b40c83783</citedby><cites>FETCH-LOGICAL-c337t-198abccd7fd60332ec2d3d6f1f01843c88802a2e10c038a869d2b4c1b40c83783</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1753193419835436$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1753193419835436$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30871404$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Le Hanneur, Malo</creatorcontrib><creatorcontrib>Masmejean, Emmanuel H.</creatorcontrib><creatorcontrib>Lafosse, Thibault</creatorcontrib><title>Direct transfer of C7 pectoral fascicles to the suprascapular nerve in C5/C6 brachial plexus palsies: an anatomical study</title><title>The Journal of hand surgery, European volume</title><addtitle>J Hand Surg Eur Vol</addtitle><description>We investigated a technique to reconstruct the suprascapular nerve in patients with C5/C6 brachial plexus palsies, using pectoral fascicles from the ipsilateral C7 root. Using a supraclavicular approach in eight cadavers, the suprascapular nerve was placed side by side with an anterior quadrant fascicle from the C7 root. Several criteria were assessed, including the fascicle length, the overlap between the two nerves and their respective diameters. The mean length of the C7 fascicles was 19.3 mm, with a mean overlap of 4.7 mm. The suprascapular nerve and the C7 fascicles had mean diameters of 2.2 mm and 2.1 mm, respectively. Pectoral fascicles from C7 seem to be an option for reconstruction of the suprascapular nerve in C5/C6 palsies. Clinical studies will be required to establish the potential limitations of this transfer, especially in cases with complex lesions of the suprascapular nerve.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Brachial Plexus - surgery</subject><subject>Brachial Plexus Neuropathies - surgery</subject><subject>Cadaver</subject><subject>Cervical Vertebrae - innervation</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nerve Transfer - methods</subject><issn>1753-1934</issn><issn>2043-6289</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UEtLxDAQDqK46-rdk-TopZo0aZN6k_qEBS96Lmk6cbu0TU0acf-9WXb1IAgDA9-LmQ-hc0quKBXimoqM0YJxWkiWcZYfoHlKOEvyVBaHaL6lky0_QyferwnJZEHzYzRjRArKCZ-jzV3rQE94cmrwBhy2BpcCjxGzTnXYKK9b3YHHk8XTCrAPo4uYGkOnHB7AfQJuB1xm12WOa6f0qo22sYOv4PGoOt-Cv8FqiKMm27c6sn4KzeYUHZlIw9l-L9Dbw_1r-ZQsXx6fy9tlohkTUzxfqlrrRpgmJ4yloNOGNbmhhlDJmZZSklSlQIkmTCqZF01ac01rTrRkQrIFutzljs5-BPBT1bdeQ9epAWzwVRoLooIUnEUp2Um1s947MNXo2l65TUVJtS28-lt4tFzs00PdQ_Nr-Gk4CpKdwKt3qNY2uCF--3_gN3HLiBo</recordid><startdate>201907</startdate><enddate>201907</enddate><creator>Le Hanneur, Malo</creator><creator>Masmejean, Emmanuel H.</creator><creator>Lafosse, Thibault</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201907</creationdate><title>Direct transfer of C7 pectoral fascicles to the suprascapular nerve in C5/C6 brachial plexus palsies: an anatomical study</title><author>Le Hanneur, Malo ; Masmejean, Emmanuel H. ; Lafosse, Thibault</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c337t-198abccd7fd60332ec2d3d6f1f01843c88802a2e10c038a869d2b4c1b40c83783</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Brachial Plexus - surgery</topic><topic>Brachial Plexus Neuropathies - surgery</topic><topic>Cadaver</topic><topic>Cervical Vertebrae - innervation</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nerve Transfer - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Le Hanneur, Malo</creatorcontrib><creatorcontrib>Masmejean, Emmanuel H.</creatorcontrib><creatorcontrib>Lafosse, Thibault</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of hand surgery, European volume</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Le Hanneur, Malo</au><au>Masmejean, Emmanuel H.</au><au>Lafosse, Thibault</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Direct transfer of C7 pectoral fascicles to the suprascapular nerve in C5/C6 brachial plexus palsies: an anatomical study</atitle><jtitle>The Journal of hand surgery, European volume</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2019-07</date><risdate>2019</risdate><volume>44</volume><issue>6</issue><spage>628</spage><epage>631</epage><pages>628-631</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><abstract>We investigated a technique to reconstruct the suprascapular nerve in patients with C5/C6 brachial plexus palsies, using pectoral fascicles from the ipsilateral C7 root. Using a supraclavicular approach in eight cadavers, the suprascapular nerve was placed side by side with an anterior quadrant fascicle from the C7 root. Several criteria were assessed, including the fascicle length, the overlap between the two nerves and their respective diameters. The mean length of the C7 fascicles was 19.3 mm, with a mean overlap of 4.7 mm. The suprascapular nerve and the C7 fascicles had mean diameters of 2.2 mm and 2.1 mm, respectively. Pectoral fascicles from C7 seem to be an option for reconstruction of the suprascapular nerve in C5/C6 palsies. Clinical studies will be required to establish the potential limitations of this transfer, especially in cases with complex lesions of the suprascapular nerve.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>30871404</pmid><doi>10.1177/1753193419835436</doi><tpages>4</tpages></addata></record> |
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| language | eng |
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| subjects | Aged Aged, 80 and over Brachial Plexus - surgery Brachial Plexus Neuropathies - surgery Cadaver Cervical Vertebrae - innervation Female Humans Male Middle Aged Nerve Transfer - methods |
| title | Direct transfer of C7 pectoral fascicles to the suprascapular nerve in C5/C6 brachial plexus palsies: an anatomical study |
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