Table 1.
Case No. | Type of Accident | Type of Lesion, Side | Primary Reconstructive Surgeries aimed at Restoration of Shoulder and Elbow Function |
---|---|---|---|
1 | Motorcycle | Avulsion of roots C5-T1, right | Transfer of accessory nerve to suprascapular nerve and hypoglossal nerve to MCN resulted in a stable shoulder; elbow function did not recover (surgery performed elsewhere five months after injury) |
2 | Work-related injury | Rupture of roots C5-C6 and avulsion of C7-T1, left | Sural nerve grafts were used to bridge the defects of C5 and C6 to restore elbow flexion and shoulder stability; motor recovery was unable to move the biological arm (surgery performed elsewhere five months after injury) |
3 | Motorcycle | Avulsion of roots C6-T1, right | Restoration of elbow function was attempted with ICN transfers to MCN, however no recovery was achieved (surgery performed elsewhere five months after injury) |
4 | Motorcycle | Avulsion of roots C5-T1, left | Transfer of phrenic to suprascapular nerve and ICN transfers to MCN and axillary nerve resulted in a stable shoulder; elbow function did not recover (surgery performed elsewhere four months after injury) |
5 | Motorcycle | Avulsion of roots C6-T1, right | Restoration of elbow function was attempted with nerve grafts from C4 and C5 to MCN; ICN transfers to median nerve; motor recovery was unable to move the biological arm (surgery performed elsewhere three months after injury) |
ICN = intercostal nerve, MCN = musculocutaneous nerve.