Article

Combined proximal nerve graft and distal nerve transfer for a posterior cord brachial plexus injury Case report

Department of Orthopaedic Surgery, Wake Forest School of Medicine
Journal of Neurosurgery (Impact Factor: 3.15). 11/2012; 118(1). DOI: 10.3171/2012.10.JNS12425
Source: PubMed

ABSTRACT The treatment of patients with prolonged denervation from a posterior cord brachial plexus injury is challenging and no management guidelines exist to follow. The authors describe the case of a 26-year-old man who presented to our clinic for treatment 11 months after suffering a high-energy injury to the posterior cord of the brachial plexus. A combined 9-cm proximal cable nerve graft procedure and a pronator branch to the posterior interosseous nerve transfer were performed. Satisfactory deltoid, triceps, wrist, and finger extensor recovery was noted 3 years after surgery. Patients with prolonged denervation from posterior cord injuries can be successfully treated with a combination of a proximal nerve graft and a distal nerve transfer.

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