Nerve Transfers in Birth Related Brachial Plexus Injuries: Where Do We Stand?

Hand Clin. 2016 May;32(2):175-90. doi: 10.1016/j.hcl.2015.12.006.

Abstract

This article reviews the assessment and management of obstetrical brachial plexus palsy. The potential role of distal nerve transfers in the treatment of infants with Erb's palsy is discussed. Current evidence for motor outcomes after traditional reconstruction via interpositional nerve grafting and extraplexal nerve transfers is reviewed and compared with the recent literature on intraplexal distal nerve transfers in obstetrical brachial plexus injury.

Keywords: Erb’s palsy; Nerve graft; Nerve transfer; Neurotization; Obstetrical brachial plexus palsy.

Publication types

  • Review

MeSH terms

  • Birth Injuries / diagnosis
  • Birth Injuries / surgery*
  • Brachial Plexus / injuries*
  • Brachial Plexus / surgery*
  • Brachial Plexus Neuropathies / diagnosis
  • Brachial Plexus Neuropathies / surgery*
  • Humans
  • Nerve Transfer*
  • Peripheral Nerve Injuries / diagnosis
  • Peripheral Nerve Injuries / surgery*
  • Transplantation, Autologous