caa a22 4500 606245758 CHVBK 20210128101337.0 cr unu---uuuuu 210128e20150601xx s 000 0 eng 10.1007/s12262-013-1020-3 doi (NATIONALLICENCE)springer-10.1007/s12262-013-1020-3 Contralateral Spinal Accessory Nerve Transfer: A New Technique in Panavulsive Brachial Plexus Palsy [Elektronische Daten] [Jaime Zermeño-Rivera, Bianca Gutiérrez-Amavizca] Brachial plexus avulsion results from excessive stretching and can occur secondary to motor vehicle accidents, mainly in motorcyclists. In a 28-year-old man with panavulsive brachial plexus palsy, we describe an alternative technique to repair brachial plexus avulsion and to stabilize and preserve shoulder function by transferring the contralateral spinal accessory nerve to the suprascapular nerve. We observed positive clinical and electromyographic results in sternocleidomastoid, trapezius, supraspinatus, infraspinatus, pectoralis, triceps, and biceps, with good outcome and prognosis for shoulder function at 12months after surgery. This technique provides a unique opportunity for patients suffering from severe brachial plexus injuries and lacking enough donor nerves to obtain shoulder stability and mobility while avoiding bone fusion and preserving functionality of the contralateral shoulder with favorable postoperative outcomes. Association of Surgeons of India, 2013 Brachial plexus nationallicence Neurolysis nationallicence Nerve transfer nationallicence Spinal accessory nationallicence Zermeño-Rivera Jaime Servicio de Cirugía Reconstructiva del Instituto Jalisciense de Cirugía Reconstructiva "Dr. José Guerrerosantos”, Federalismo Norte 2022, Guadalupana, 44220, Guadalajara, Jalisco, Mexico aut Gutiérrez-Amavizca Bianca División de Genética, Centro de Investigación Biomédica de Occidente, IMSS; Doctorado en Genética Humana, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Sierra Mojada 800. Col. Independencia, 44340, Guadalajara, Jalisco, Mexico aut Indian Journal of Surgery Springer India 77/3(2015-06-01), 247-250 0972-2068 77:3<247 2015 77 12262 https://doi.org/10.1007/s12262-013-1020-3 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-1020-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Zermeño-Rivera Jaime Servicio de Cirugía Reconstructiva del Instituto Jalisciense de Cirugía Reconstructiva "Dr. José Guerrerosantos”, Federalismo Norte 2022, Guadalupana, 44220, Guadalajara, Jalisco, Mexico aut NATIONALLICENCE 700 1- Gutiérrez-Amavizca Bianca División de Genética, Centro de Investigación Biomédica de Occidente, IMSS; Doctorado en Genética Humana, Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Sierra Mojada 800. Col. Independencia, 44340, Guadalajara, Jalisco, Mexico aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77/3(2015-06-01), 247-250 0972-2068 77:3<247 2015 77 12262