Nerve Transfers for Shoulder and Elbow Function (Feat. Dr. Mackinnon)

Nerve Transfers for Shoulder and Elbow Function
Authors: Mackinnon SE1, Yee A1
Published: May 6, 2016

AUTHOR INFORMATION
1 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
This presentation is a comprehensive review of our strategies for restoring function to the shoulder and elbow through nerve transfers. In particular, these transfers are discussed in reference to brachial plexus injuries with an approach at an individual nerve-level. Technical approaches are offered for each nerve transfer to restore shoulder and elbow function. This is our third revision to this topic.

00:00 Introduction
00:25 OVERVIEW
00:35 NERVE TRANSFERS FOR SHOULDER FUNCTION
02:53 Medial Pectoral to Spinal Accessory Nerve Transfer
10:44 Nerve Transfers for Suprascapular Nerve (Anterior Approach vs. Posterior Approach)
11:25 Spinal Accessory to Suprascapular Nerve Transfer (Posterior Approach)
11:40 Anatomy of the Spinal Accessory and Suprascapular Nerve
14:18 Pre-operative Anatomical Markings and Incision Guidelines
15:25 Suprascapular Notch and Ligament
19:31 Technique for the Posterior Approach Nerve Transfer
24:04 Spinal Accessory to Suprascapular Nerve Transfer (Anterior Approach)
25:18 Experimental Studies for Motor End-to-side Nerve Transfer
26:23 Technique for the Anterior Approach Nerve Transfer
31:31 Nerve Transfers for Axillary Nerve
32:08 Medial Triceps to Axillary Nerve Transfer
41:14 Medial Pectoral to Axillary Nerve Transfer
42:33 Nerve Transfers for Long Thoracic Nerve
42:38 Double-level Nerve Transfer for Long Thoracic Nerve
46:27 NERVE TRANSFERS FOR ELBOW FUNCTION
46:57 Nerve Transfers for Musculocutaneous Nerve
47:02 Double Fascicular Nerve Transfer
54:17 Medial Pectoral to Musculocutaneous Nerve Transfer
54:39 Thoracodorsal to Musculocutaneous Nerve Transfer
55:59 Nerve Transfers for Triceps Brachii Nerve
56:04 Flexor Carpi Ulnaris to Triceps Brachii Nerve Transfer
58:16 Intercostals to Triceps Brachii Nerve Transfer
58:30 Conclusion