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. 2018;26(5):332-334.
doi: 10.1590/1413-785220182605193532.

ASSESSMENT OF THE RESULTS OF ACCESSORY TO SUPRASCAPULAR NERVE TRANSFER

Yussef Ali Abdouni  1 , Gabriel Faria Checoli  1 , Horacio Cardoso Salles  1 , Antonio Carlos da Costa  1 , Ivan Chakkour  1 , Patricia Maria de Moraes Barros Fucs  1
Affiliations

ASSESSMENT OF THE RESULTS OF ACCESSORY TO SUPRASCAPULAR NERVE TRANSFER

Yussef Ali Abdouni et al. Acta Ortop Bras. 2018.

Abstract
in English, Portuguese

Objective: Nerve transfers are an alternative in the reconstruction of traumatic brachial plexus injuries. In this study, we report the results of branchial plexus reconstruction using accessory to suprascapular nerve transfer.

Methods: Thirty-three patients with traumatic brachial plexus injuries underwent surgical reconstruction with accessory to suprascapular nerve transfers. The patients were divided into groups in which surgery was performed either within 6 months after the injury or more than 6 months after the injury. Results were assessed using the Constant score.

Results: There was no significant difference between the groups with respect to the Constant score.

Conclusion: Accessory to suprascapular nerve transfer was not an efficient method for recovering active ROM or strength in the shoulder. However, it effectively improved pain control and shoulder stability. Level of evidence II, Retrospective Study.

Objetivo: A transferência de nervos é uma alternativa na reconstrução das lesões traumáticas do plexo braquial. Neste estudo, relatamos os resultados da reconstrução do plexo braquial com a transferência do nervo acessório para o nervo supraescapular.

Métodos: Trinta e três pacientes com lesões traumáticas do plexo braquial foram submetidos à reconstrução cirúrgica com transferência do nervo acessório para o nervo supraescapular. Os pacientes foram divididos em grupos em que a cirurgia foi realizada dentro de 6 meses a partir da lesão ou mais de 6 meses depois da lesão. Os resultados foram avaliados com o escore Constant.

Resultados: Não houve diferença significante entre os grupos com relação ao escore Constant.

Conclusão: A transferência do nervo acessório para o nervo supraescapular não foi um método eficiente para recuperar a ADM ativa ou a força no ombro. No entanto, foi eficiente para melhorar o controle da dor e a estabilização do ombro. Nível de evidência II, Estudo Retrospectivo.

Keywords: Accessory nerve; Brachial plexus; Nerve transfer; Shoulder.

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Conflict of interest statement

All authors declare no potential conflict of interest related to this article.

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