»: The incidence of brachial plexus birth injury (BPBI) in the United States is declining and now occurs in <1 per 1,000 births.
»: The gold standard for predicting the need for early intervention remains serial examination.
»: Early treatment of BPBI with reconstructive surgery requires the ability to perform both interposition nerve grafting and nerve transfers.
»: Given the heterogeneity of lesions, the evidence is largely limited to retrospective comparative studies and case series.
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http://dx.doi.org/10.2106/JBJS.RVW.20.00004 | DOI Listing |
J Hand Surg Eur Vol
January 2025
Center for Orthopedic Trans-Disciplinary Applied Research, Tehran University of Medical Sciences, Tehran, Iran.
We retrospectively reviewed the outcome of triple nerve transfer, including reinnervation of brachioradialis and double nerve transfer surgery in C5-C6 traumatic brachial plexus injuries. IV.
View Article and Find Full Text PDFBrain Behav
January 2025
School of Psychology, University of Nottingham University Park, Nottingham, UK.
Background: Rhythmic median nerve stimulation (MNS) at 10 Hz has been shown to cause a substantial reduction in tic frequency in individuals with Tourette syndrome. The mechanism of action is currently unknown but is hypothesized to involve entrainment of oscillations within the sensorimotor cortex.
Objective: We used functional magnetic resonance spectroscopy (fMRS) to explore the dynamic effects of MNS on neurometabolite concentrations.
Hand Surg Rehabil
January 2025
Orthopedic Surgery Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Background: Restoring elbow flexion following brachial plexus injury (BPI) is essential for improving arm function and quality of life in adults. This study aimed to compare the efficacy of Oberlin II and intercostal nerve (ICN) neurotization techniques for restoring elbow flexion in adults with upper and middle trunk brachial plexus palsy.
Methods: This prospective study included 36 patients aged 18 to 50 years with traumatic upper and middle trunk brachial plexus palsy.
Zhongguo Zhen Jiu
January 2025
Department of Pain Medicine, Suizhou Hospital of Hubei University of Medicine, Suizhou 441300, China.
Objective: To evaluate the clinical efficacy of ultrasound-guided needle knife release with different pathways for carpal tunnel syndrome (CTS).
Methods: Sixty CTS patients were randomly divided into a transverse group and a longitudinal group, with 30 patients in each group. The transverse group received the needle knife release under ultrasound above and below the median nerve along the short axis, while the longitudinal group received the needle knife release under ultrasound above the median nerve along the long axis.
Microsurgery
January 2025
Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Background: Free functional muscle transfer (FFMT) for brachial plexus injury (BPI) requires adequate donor arterial flow for successful anastomosis. However, concomitant BPI and subclavian artery injury are not uncommon. Arteriovenous (AV) loop graft is one of the methods used to extend vessels to areas with vascular depletion.
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