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Spinal accessory nerve transfer for shoulder abduction has no benefit over supraclavicular exploration and nerve grafting in brachial plexus birth injury: a systematic review.
Front Pediatr
December 2024
Department of Clinical Sciences, Umeå University, Umeå, Sweden.
Introduction: Brachial plexus birth injury (BPBI) has an incidence of 0.9 per 1,000 live births in the population. Techniques for repair classically include supraclavicular exploration and nerve grafting (SENG) and more recently nerve transfer, namely of the spinal accessory nerve (SAN) to the suprascapular nerve (SSN) to improve functional outcomes such as glenohumeral abduction and external rotation.
View Article and Find Full Text PDFFascicle differentiation of upper extremity nerves on high-resolution ultrasound with multimodal microscopic verification.
Sci Rep
January 2025
Department of Radiology, Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.
This study aimed to compare the fascicular anatomy of upper limb nerves visualized using in situ high-resolution ultrasound (HRUS) with ex vivo imaging modalities, namely, magnetic resonance microscopy (MRM), histological cross-sections (HCS), and optical projection tomography (OPT). The median, ulnar, and superficial branch of radial nerve (n = 41) were visualized in 14 cadaveric upper limbs using 22-MHz HRUS. Subsequently, the nerves were excised, imaged with different microscopic techniques, and their morphometric properties were compared.
View Article and Find Full Text PDFCombination of morphological and multiparametric MR neurography enhances carpal tunnel syndrome diagnosis and evaluation.
Sci Rep
January 2025
Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
This study aimed to investigate the diagnostic and evaluative significance of combining median nerve (MN) morphological measurements with diffusion tensor imaging (DTI) and T2 mapping metrics for carpal tunnel syndrome (CTS). Morphological and multiparametric magnetic resonance neurography (MRN), along with clinical evaluation, were conducted on 33 CTS patients and 32 healthy controls. The MRN metrics included fractional anisotropy (FA), apparent diffusion coefficient (ADC), axial diffusivity (AD), radial diffusivity (RD), T2 value, cross-sectional area (CSA) and MN flattening ratio (MNFR) at both the pisiform bone and hamate bone levels.
View Article and Find Full Text PDFREINTEGRATION INTO WORK AFTER TRAUMATIC BRACHIAL PLEXUS INJURIES: A SELECTIVE LITERATURE REVIEW ON EXPERIENCES FROM VARIOUS GLOBAL REGIONS.
World Neurosurg
December 2024
Fraunhofer Institute for Manufacturing Engineering and Automation, Stuttgart, Germany; Institute of Industrial Manufacturing and Management, University of Stuttgart, Germany.
Article Synopsis
- Thousands of young adults experience traumatic brachial plexus injuries (TBPIs), which often result in permanent disabilities and difficulties returning to work, creating social and economic challenges.
- The study aims to assess return-to-work rates after TBPI and compare outcomes between healthcare systems in Germany, Serbia, and the UK.
- Preliminary findings suggest that about 60% of TBPI patients manage to return to work, but often in different occupational roles, indicating ongoing challenges in patient reintegration despite variations in healthcare support.
Variation in the Distribution of the Middle Trunk: Potential Contraindication for C7 Harvest?
Indian J Plast Surg
December 2024
Department of Brachial Plexus Surgery, Deenanath Mangeshkar Hospital, Pune, Maharashtra, India.
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