Transfer of the First Intercostal Nerve to Supra- and Infraspinatus Muscles: An Anatomical Study and Report of the First Case

We have assessed the anatomical feasibility of a transfer of the first intercostal nerve to the supra- and infraspinatus muscles and report on the first clinical application. Ten fresh cadavers were dissected for this study. Histomorphometric analysis showed the fascicular surface area of the first...

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Veröffentlicht in:Journal of Hand Surgery 2009-04, Vol.34 (2), p.196-200
Hauptverfasser: DURAND, S., OBERLIN, C., FOX, M., DIVERREZ, J. P., DAUGE, M. C.
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container_end_page 200
container_issue 2
container_start_page 196
container_title Journal of Hand Surgery
container_volume 34
creator DURAND, S.
OBERLIN, C.
FOX, M.
DIVERREZ, J. P.
DAUGE, M. C.
description We have assessed the anatomical feasibility of a transfer of the first intercostal nerve to the supra- and infraspinatus muscles and report on the first clinical application. Ten fresh cadavers were dissected for this study. Histomorphometric analysis showed the fascicular surface area of the first intercostal nerve at its origin (0.38 mm2) to be comparable to the suprascapular nerve (0.81 mm2). The first intercostal nerve is usually a pure motor nerve. Preservation of the spinal accessory nerve, lack of donor site morbidity and direct suture without nerve graft are the other advantages of this transfer. Its principal indication is in lesions of the upper brachial plexus, used in association with neurotisation of two other intercostal nerves to the anterior branch of the axillary nerve. At 21 months follow-up there was useful motor reinnervation in the first clinical case.
doi_str_mv 10.1177/1753193408098902
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P.</creatorcontrib><creatorcontrib>DAUGE, M. C.</creatorcontrib><title>Transfer of the First Intercostal Nerve to Supra- and Infraspinatus Muscles: An Anatomical Study and Report of the First Case</title><title>Journal of Hand Surgery</title><addtitle>J Hand Surg Eur Vol</addtitle><description>We have assessed the anatomical feasibility of a transfer of the first intercostal nerve to the supra- and infraspinatus muscles and report on the first clinical application. Ten fresh cadavers were dissected for this study. Histomorphometric analysis showed the fascicular surface area of the first intercostal nerve at its origin (0.38 mm2) to be comparable to the suprascapular nerve (0.81 mm2). The first intercostal nerve is usually a pure motor nerve. Preservation of the spinal accessory nerve, lack of donor site morbidity and direct suture without nerve graft are the other advantages of this transfer. 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Autonomic nervous system</subject><subject>Diseases of the osteoarticular system</subject><subject>Dissection</subject><subject>Electromyography</subject><subject>Female</subject><subject>Humans</subject><subject>Intercostal Nerves - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nerve Transfer - methods</subject><subject>Neurosurgery</subject><subject>Range of Motion, Articular</subject><subject>Rotation</subject><subject>Shoulder - innervation</subject><subject>Shoulder - surgery</subject><subject>Shoulder Injuries</subject><subject>Shoulder Joint - physiopathology</subject><subject>Shoulder Joint - surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. 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C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transfer of the First Intercostal Nerve to Supra- and Infraspinatus Muscles: An Anatomical Study and Report of the First Case</atitle><jtitle>Journal of Hand Surgery</jtitle><addtitle>J Hand Surg Eur Vol</addtitle><date>2009-04-01</date><risdate>2009</risdate><volume>34</volume><issue>2</issue><spage>196</spage><epage>200</epage><pages>196-200</pages><issn>1753-1934</issn><eissn>2043-6289</eissn><eissn>1532-2211</eissn><abstract>We have assessed the anatomical feasibility of a transfer of the first intercostal nerve to the supra- and infraspinatus muscles and report on the first clinical application. Ten fresh cadavers were dissected for this study. Histomorphometric analysis showed the fascicular surface area of the first intercostal nerve at its origin (0.38 mm2) to be comparable to the suprascapular nerve (0.81 mm2). The first intercostal nerve is usually a pure motor nerve. 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subjects Aged
Aged, 80 and over
Biological and medical sciences
Brachial Plexus Neuropathies - surgery
Cranial nerves. Peripheral nerves. Autonomic nervous system
Diseases of the osteoarticular system
Dissection
Electromyography
Female
Humans
Intercostal Nerves - surgery
Male
Medical sciences
Nerve Transfer - methods
Neurosurgery
Range of Motion, Articular
Rotation
Shoulder - innervation
Shoulder - surgery
Shoulder Injuries
Shoulder Joint - physiopathology
Shoulder Joint - surgery
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
title Transfer of the First Intercostal Nerve to Supra- and Infraspinatus Muscles: An Anatomical Study and Report of the First Case
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