Article

Triceps motor branch transfer has been used for more than ten years
to restore deltoid function after axillary nerve injury.
However, there have been
few reports of the outcome of this procedure in isolated axillary nerve injury.
HYPOTHESIS: Triceps motor branch transfer could be an effective method to restore
deltoid function for patients with isolated axillary nerve injury.
METHODS: Nine patients who underwent triceps motor branch transfer for treatment
of isolated axillary nerve injury were followed up for at least 22 months.
Shoulder abduction was assessed for all patients. The DASH outcome questionnaire
was completed by every patient. Electrophysiological study was performed on 7
patients. RESULTS: All patients regained>/=90 degrees (mean, 137 degrees )
shoulder abduction. Mean DASH score decreased from 35.2 before surgery to 13.1 at
the last follow-up. There was no noticeable weakness of elbow extension in any
patient. DISCUSSION: Triceps motor branch transfer provided good results and may
be a feasible alternative to nerve grafting for the treatment of complete
isolated axillary nerve injury. TYPE OF STUDY: IV, retrospective cohort study.
CI - Copyright (c) 2017. Published by Elsevier Masson SAS.

Langue : ANGLAIS ; FRANCAIS