Nerve Transfers to the Musculocutaneous and Suprascapular Nerve for Restoration of Elbow and Shoulder Function in Brachial Plexus Avulsion: An Early Experience

The diagnosis of brachial plexus avulsion is often delayed by concomitant trauma to the arm and shoulder. Therefore, nerve transfer surgery restore elbow shoulder function rarely reported. We present our initial experience double fascicular for upper avulsion. A 26-year-old male patient presented with a 5-month history unresolving pain paralysis involving his left following motorcycle accident. Avulsion C5 C6 ventral roots dorsal root was confirmed myelographic computed tomography scan. After lesioning entry zone due painful avulsion, fascicles (flexor carpi radialis flexor ulnaris) median ulnar nerve) were transferred biceps brachii brachialis branches musculocutaneous flexion. Two weeks after first surgery, distal accessory suprascapular ensure function. Six months transfers, flexion recovered Medical Research Council grade 3, but did not show any improvement. An additional (triceps branch radial axillary planned It necessary refine microsurgical suture technique. For function, it recommended perform at time surgery. Key words: Brachial plexus; Musculocutaneous nerve; Nerve transfer; Radiculopathy