Brachial Plexus Injury-Adult-Common Nerve Transfers in the Upper Extremity

Video Transcription

Video Summary

In this video, the speaker discusses the concept of nerve transfers and their applications in various types of injuries. Nerve transfers involve taking a functioning nerve from one area of the body and transferring it to a denervated area closer to the target muscle. This technique shortens the distance to the target muscle, reducing regeneration time. Indications for nerve transfers include injuries where the proximal nerve stump is incapable of re-nervating distally, injuries with a broad zone of damage where nerve grafting may not be effective, or situations where there are no suitable donor nerves. The speaker explains specific nerve transfers for different types of injuries, such as the double fascicular transfer for C5 and C6 injuries, spinal accessory to suprascapular nerve transfer for shoulder function, and brachialis to AIN transfer for thumb and finger flexion. The speaker also mentions other potential nerve transfers and highlights the importance of following up with patients long term to assess the success of the procedure.

Keywords

nerve transfers

injuries

proximal nerve stump

nerve grafting

donor nerves