Pt | Age sex | Type of Lesion | Procedure | Cocontractions | Deformities | Â | Â | Â | Nerve grafts | Shoulder function score | Elbow function score | Hand function score | |||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 |  |  | Donor to recipient |  | shoulder | elbow | forearm | Wrist |  | Preop. Postop. | Preop. Postop. | Preop. Postop. | |||
1 | 4F | C5,6 rupture C7,8T1 avulsion | Phrenic to suprascapular; contralateral C7 to all cords | Cocontractions of biceps, clav. pect. major and deltoid on shoulder abduction and elbow flexion | Internal rotation adduction (+ve scapular elevation sign) | Flexion deformity 20 degrees | Supination def. | Flexible extension deformity | Sural and radial ns. | 2 | 4 | 3 | 4 | 1 | 2 |
2 | 4F | C5,6,7,8 rupture T1 avulsion | Phrenic to suprascapular; contralateral C7 to all cords | Cocontractions of biceps and deltoid on shoulder abduction and elbow flexion | Internal rotation adduction (+ve scapular elevation sign) | Flexion deformity 30 degrees | Pronation def. | Wrist drop | sural | 2 | 2 | 2 | 3 | 1 | 3 |
3 | 7M | C5,6 rupture C7,8T1 avulsion | Ansa cervicalis to musculocutaneous and median, phrenic to axillary, spinal accessory to suprascapular | - | - | Flexion deformity 10 degrees | Supination def. | Flail wrist | sural | 2 | 4 | 4 | 5 | 1 | 1 |
4 | 4 F | C5,6 rupture C7,8T1 avulsion | Spinal accessory to axillary, Phrenic to ulnar, Ansa cervicalis to radial | - | Internal rotation adduction (+ve scapular elevation sign) | - | - | - | sural | 5 | 5 | 4 | 4 | 4 | 4 |
5 | 6 F | C5,6,8T1 rupture C7 avulsion | Phrenic to suprascapular; contralateral C7 to all cords | - | - | Flexion deformity 10 degrees | Supination def. | Flexible flexion deformity | sural | 5 | 5 | 5 | 5 | 5 | 5 |
6 | 3 F | C5,6 rupture C7,8T1 avulsion | Phrenic to suprascapular; contralateral C7 to all cords | Cocontractions of biceps and deltoid on shoulder abduction | Internal rotation adduction (+ve scapular elevation sign) | Flexion deformity 20 degrees | Supination def | Flail wrist Flexible extension deformity | sural | 2 | 4 | 4 | 4 | 1 | 2 |
7 | 4 F | C5,6 rupture C7,8T1 avulsion | Phrenic to suprascapular; contralateral C7 to all cords | Cocontractions of biceps, deltoid and wrist extensors on shoulder abduction and elbow flexion | Internal rotation adduction (+ve scapular elevation sign) | Flexion deformity 20 degrees | Supination def | Flexible extension deformity | sural | 4 | 6 | 3 | 4 | 1 | 2 |
8 | 3 F | sural and radial nerve grafting for C5,6,7 rupture, C8 T1 neurolysis; at the age of 3 months | 3rd and 4th intercostals to musculocutaneous n. (intertwining neurotization); partial ulnar to radial n. interwining neurotization (mod. Oberlin transfer); Ulnar to median (side-to-side neurotization); external rotation osteotomy and Hoffer transfer (lat. dorsi and teres major tendons to infraspinatus) | Cocontractions of biceps and deltoid on elbow flexion | Internal rotation adduction (+ve scapular elevation sign) | Flexion deformity 10 degrees | - | Flexible flexion deformity 10 degrees | - | 4 | 6 | 5 | 5 | 5 | 5 |