Brachial plexus and peripheral nerve injuries lead to significant upper extremity dysfunction and disability. Traditionally, both have been treated with nerve grafting when a tensionless, end-to-end repair is not feasible. Despite our best efforts, functional outcomes of this procedure are less than ideal due to the long distances that the axons must regenerate to reach their end organs. Over t...

BACKGROUND The limited nerve sources available for the reconstruction and restoration of upper extremity function is the biggest obstacle in the treatment of brachial plexus injury (BPI). We used part of a transplanted vascularized ulnar nerve as a motor source of a free muscle graft. CASE PRESENTATION A 21-year-old man with a left total brachial plexus injury had received surgical intercosta...

Nerve transfers have gained popularity in the treatment of adult brachial plexus palsy; however, their role in the treatment of neonatal brachial plexus palsy (NBPP) remains unclear. Brachial plexus palsies in infants differ greatly from those in adults in the patterns of injury, potential for recovery, and influences of growth and development. This International Federation of Societies for Sur...

Peripheral nerve injuries during sports-related operative interventions are rare complications, but the associated morbidity can be substantial. Early diagnosis, efficient and effective evaluation, and appropriate management are crucial to maximizing the prognosis, and a clear and structured algorithm is therefore required. We describe the surgical conditions and interventions that are commonly...

background: the transfer of the tibialis posterior tendon to the dorsum of foot can restore the function of the paralyzed dorsiflexor muscles of the foot and ankle. in order to reduce the wound complication in the insertion site of tendon to bone by a plantar knop we used a new method of fixation by an absorbable screw inserted dorsally. methods: we performed this operation on 15 patients in a ...

Lower extremity peripheral nerve injuries can be highly morbid to patients and challenging problems for reconstructive surgeons manage. Nerve transfers have recently emerged as a promising technique in the treatment of these injuries. The nerve-transfer paradigm is predicated on use an expendable, unaffected donor axons restore motor or sensory function target end organ. Distal close organ may ...

Restoration of elbow flexion is the first goal in brachial plexus injuries. The current procedures using nerve grafts and nerve transfers authorize more extensive repairs, with different possible targets: shoulder, elbow extension, and hand. Elbow extension is important to stabilize the elbow without the contralateral hand and allows achieving a useful grasp. The transfer of the intercostal ner...