Strong scientific validation for nerve reconstructive surgery in infants with Obstetric Brachial Plexus Palsy is lacking, as no randomized trial comparing surgical reconstruction versus conservative treatment has been performed. A systematic review of the literature was performed to identify studies that compare nerve reconstruction to conservative treatment, including neurolysis. Nine papers w...

End-to-end suture of nerves and autologous nerve grafts are the 'gold standard' for repair and reconstruction of peripheral nerves. However, techniques such as sutureless nerve repair with tissue glues, end-to-side nerve repair and allografts exist as alternatives. Biological and synthetic nerve conduits have had some success in early clinical studies on reconstruction of nerve defects in the h...

OBJECTIVES To present a rare case of facial nerve paraganglioma and novel use of a processed allograft for facial nerve reconstruction. STUDY DESIGN Case report and review of the literature. METHODS A 34 year old female presented with progressive onset right sided facial palsy for 5 months. CT and MRI demonstrated an irregular mass in the right facial nerve canal from the intratympanic segm...

Advancements in hip arthroscopy are astounding. Circumferential labral reconstruction, augmentation, and capsular reconstruction valuable tools. Beyond the “comfort zone” of intra-articular realm, new frontiers include peritrochanteric space, a similarity to subacromial space shoulder makes transition attainable. In contrast, subgluteal is seen as outside box. Sciatic nerve entrapment (SNE), is...

OBJECTIVE Sensory nerve grafts are often used to reconstruct injured motor nerves, but the consequences of such motor/sensory mismatches are not well studied. Sensory nerves have more diverse fiber distributions than motor nerves and may possess phenotypically distinct Schwann cells. Putative differences in Schwann cell characteristics and pathway architecture may negatively affect the regenera...

The shoulder joint is the foundation for excellent upper extremity function. It contributes to stability and basic movements like rotation and elevation of the arm. Shoulder fusion should not be accepted even for total palsy, and nerve repair should be recommended as long as an available donor nerve exists. In planning the reconstructive procedure for shoulder function, accurate biomechanical a...

The complex reconstruction of nerves and soft tissue in the head and neck region is still challenging, especially in cases requiring external auditory canal reconstruction with facial nerve reconstruction. We report a case of left facial schwannoma extending into the external auditory canal beyond the tympanic membrane with facial paralysis in which the reconstruction of both the facial nerve a...