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Table 1 The demographic data of the patients, lesion types, operative procedures, preoperative cocontractions and deformities and the pre- and postoperative evaluation scores.

From: Augmentation of partially regenerated nerves by end-to-side side-to-side grafting neurotization: experience based on eight late obstetric brachial plexus cases

Pt

Age sex

Type of Lesion

Procedure

Cocontractions

Deformities

   

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