Possible donor nerves for axillary nerve reconstruction in dual neurotization for restoring shoulder abduction in brachial plexus injuries: a systematic review and meta-analysis

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F22%3A43922716" target="_blank" >RIV/00064173:_____/22:43922716 - isvavai.cz</a>

Alternative codes found

RIV/61383082:_____/22:00001167 RIV/00216208:11110/22:10435782 RIV/00216208:11120/22:43922716 RIV/00216208:11130/22:10435782

Result on the web

<a href="https://doi.org/10.1007/s10143-021-01713-z" target="_blank" >https://doi.org/10.1007/s10143-021-01713-z</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.1007/s10143-021-01713-z" target="_blank" >10.1007/s10143-021-01713-z</a>

Result language

angličtina

Original language name

Possible donor nerves for axillary nerve reconstruction in dual neurotization for restoring shoulder abduction in brachial plexus injuries: a systematic review and meta-analysis

Original language description

Restoring shoulder abduction is one of the main priorities in the surgical treatment of brachial plexus injuries. Double nerve transfer to the axillary nerve and suprascapular nerve is widely used and considered the best option. The most common donor nerve for the suprascapular nerve is the spinal accessory nerve. However, donor nerves for axillary nerve reconstructions vary and it is still unclear which donor nerve has the best outcome. The aim of this study was to perform a systematic review on reconstructions of suprascapular and axillary nerves and to perform a meta-analysis investigating the outcomes of different donor nerves on axillary nerve reconstructions. We conducted a systematic search of English literature from March 2001 to December 2020 following PRISMA guidelines. Two outcomes were assessed, abduction strength using the Medical Research Council (MRC) scale and range of motion (ROM). Twenty-two studies describing the use of donor nerves met the inclusion criteria for the systematic review. Donor nerves investigated included the radial nerve, intercostal nerves, medial pectoral nerve, ulnar nerve fascicle, median nerve fascicle and the lower subscapular nerve. Fifteen studies that investigated the radial and intercostal nerves met the inclusion criteria for a meta-analysis. We found no statistically significant difference between either of these nerves in the abduction strength according to MRC score (radial nerve 3.66 +- 1.02 vs intercostal nerves 3.48 +- 0.64, p = 0.086). However, the difference in ROM was statistically significant (radial nerve 106.33 +- 39.01 vs. intercostal nerve 80.42 +- 24.9, p &lt; 0.001). Our findings support using a branch of the radial nerve for the triceps muscle as a donor for axillary nerve reconstruction when possible. Intercostal nerves can be used in cases of total brachial plexus injury or involvement of the C7 root or posterior fascicle. Other promising methods need to be studied more thoroughly in order to validate and compare their results with the more commonly used methods.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30212 - Surgery

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Neurosurgical Review

ISSN

0344-5607

e-ISSN

1437-2320

Volume of the periodical

45

Issue of the periodical within the volume

2

Country of publishing house

US - UNITED STATES

Number of pages

10

Pages from-to

1303-1312

UT code for WoS article

000737103200001

EID of the result in the Scopus database

2-s2.0-85122135333