Survey to Study Variations in Surgical Techniques in Upper Brachial Plexus Injuries

Abstract

Nerve transfers for upper brachial plexus injuries are now the standard of care and produce consistent and favorable results. Despite unanimity in the treatment of upper brachial plexus injuries by triple transfer, viz., spinal accessory to suprascapular nerve, triceps branch of radial to axillary nerve, and double fascicular transfer for elbow flexion, there are plenty of differences in the surgical approaches and techniques. A case scenario and related survey was sent to 10 senior brachial plexus surgeons and their responses were analyzed and compared with surgical techniques described in literature.