Functional outcome of nerve transfers for upper-type XXXX .

@entity1 @entity129 @entity2799 @entity3002 @entity425 @entity2685
PURPOSE: The purpose of this study was to present the results of treatment using nerve transfers for elbow and shoulder function in @entity1 with upper-type (C5-C7) @entity2685 . METHODS: A retrospective review of a single surgeon's experience was done on the results of treatment using nerve transfers for shoulder abduction and external rotation and elbow flexion in nine @entity1 with upper-type @entity2685 from 2005 to 2008. The average age at the time of surgery was 32 years. The average time from injury to surgery was 6.6 months (range, 3-11 months). Two @entity1 had single-nerve transfers from the ulnar nerve to the biceps branch of the musculocutaneous nerve, and seven @entity1 had double-nerve transfers from the ulnar nerve to the biceps branch and from the median nerve to the brachialis branch of the musculocutaneous nerve. All @entity1 had @entity129 for shoulder abduction and external rotation. The average follow-up for all @entity1 was 27.7 months (range, 12-48 months). RESULTS: On latest follow-up, elbow flexion strength of M4 was achieved in eight out of nine @entity1 . The average time to achieve an @entity2799 was 7.6 months (range, 5-12 months). The average elbow range of motion was 128      19   with average elbow flexor strength of 2.7    1.5 kg. Shoulder abduction and external rotation were achieved in eight out of nine @entity1 (average of 70      41   and 61      46  , respectively). Complications include transient @entity3002 in four @entity1 and transient @entity425 in one. CONCLUSION: Nerve transfer procedures can result in functional recovery of the shoulder and elbow function in @entity1 with upper-type @entity2685 .
