Somsak’s Procedure: A Review

Authors

  • Sachin A. Borkar Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences and Jai Prakash Narayan Apex Trauma Centre, New Delhi, Delhi, India
  • Mohit Agrawa Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences and Jai Prakash Narayan Apex Trauma Centre, New Delhi, Delhi, India
  • Ashok Kumar Mahapatra Institute of Medical Sciences and SUM Hospital, Under Siksha 'O' Anusandhan Deemed to be University, Kalinga Nagar, Bhubaneswar, Odisha, India

Keywords:

axillary nerve, brachial plexus injury, nerve to long head of triceps

Abstract

Somsak’s procedure is a type of intraplexal nerve transfer technique in which the nerve to the long head of triceps is neurotized to the anterior branch of the axillary nerve, via a posterior approach, to restore function to the deltoid muscle, thus enabling shoulder abduction and external rotation. It was a new technique of neurotization which provided better outcomes as compared with the previously available tech niques, and at present it is the method of choice for deltoid muscle reinnervation for shoulder abduction. The surgical procedure, its development, and related outcomes in literature are discussed

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Published

2019-08-22

Issue

Vol. 3 No. 1 (2019): Journal of Peripheral Nerve Surgery

Section

Review