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Hand (N Y). 2023 Jan;18(1_suppl):36S-42S. doi: 10.1177/15589447221075664. Epub 2022 Mar 3.
2
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3
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J Hand Surg Am. 2023 Nov;48(11):1168.e1-1168.e6. doi: 10.1016/j.jhsa.2022.04.022. Epub 2022 Jul 6.
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Reconstruction of C5 and C6 brachial plexus avulsion injury by multiple nerve transfers: spinal accessory to suprascapular, ulnar fascicles to biceps branch, and triceps long or lateral head branch to axillary nerve.通过多神经移位重建臂丛神经C5和C6撕脱伤：副神经至肩胛上神经、尺侧束至肱二头肌支、肱三头肌长头或外侧头支至腋神经。
J Hand Surg Am. 2004 Jan;29(1):131-9. doi: 10.1016/j.jhsa.2003.10.013.
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Functional outcome predictors after spinal accessory nerve to suprascapular nerve transfer for restoration of shoulder abduction in traumatic brachial plexus injuries in adults: the effect of time from injury to surgery.成人创伤性臂丛神经损伤后路肩胛上神经移位治疗肩外展功能的预后因素：从损伤到手术的时间影响。
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本文引用的文献

1
Impact of Body Mass Index and Comorbidities on Outcomes in Upper Extremity Nerve Transfers.体重指数和合并症对上肢神经转移术结果的影响。
J Reconstr Microsurg. 2021 Nov;37(9):713-719. doi: 10.1055/s-0041-1726030. Epub 2021 May 13.
2
Combined Radial to Axillary and Spinal Accessory Nerve (SAN) to Suprascapular Nerve (SSN) Transfers May Confer Superior Shoulder Abduction Compared with Single SA to SSN Transfer.联合桡神经至腋神经和副神经（SAN）至肩胛上神经（SSN）转位可能比单独使用 SA 至 SSN 转位提供更好的肩部外展。
World Neurosurg. 2019 Jun;126:e1251-e1256. doi: 10.1016/j.wneu.2019.03.075. Epub 2019 Mar 18.
3
Triceps motor branch transfer for isolated axillary nerve injury: Outcomes in 9 patients.肱三头肌运动支移位治疗单纯腋神经损伤：9例患者的疗效
Orthop Traumatol Surg Res. 2017 Dec;103(8):1283-1286. doi: 10.1016/j.otsr.2017.07.002. Epub 2017 Aug 1.
4
Radial to Axillary Nerve Transfers: A Combined Case Series.桡神经至腋神经移位术：联合病例系列
J Hand Surg Am. 2016 Dec;41(12):1128-1134. doi: 10.1016/j.jhsa.2016.08.022. Epub 2016 Sep 20.
5
Useful Functional Outcome Can Be Achieved After Motor Nerve Transfers in Management of the Paralytic Hand. An Observational Study.运动神经移位术治疗麻痹性手部疾病后可实现有效的功能预后。一项观察性研究。
HSS J. 2016 Feb;12(1):2-7. doi: 10.1007/s11420-015-9459-3. Epub 2015 Aug 20.
6
Nerve Transfers to Restore Upper Extremity Function in Cervical Spinal Cord Injury: Update and Preliminary Outcomes.神经移植恢复颈脊髓损伤后上肢功能：最新进展与初步结果
Plast Reconstr Surg. 2015 Oct;136(4):780-792. doi: 10.1097/PRS.0000000000001641.
7
Triceps motor branch transfer for isolated traumatic pediatric axillary nerve injuries.肱三头肌运动支移位术治疗小儿单纯性创伤性腋神经损伤
J Neurosurg Pediatr. 2015 Jan;15(1):107-11. doi: 10.3171/2014.9.PEDS14245.
8
Influence of body mass index on the outcome of brachial plexus surgery: are there any differences between elbow and shoulder results?体重指数对臂丛神经手术结果的影响：肘部和肩部手术结果之间存在差异吗？
Acta Neurochir (Wien). 2014 Dec;156(12):2337-44. doi: 10.1007/s00701-014-2256-9. Epub 2014 Oct 19.
9
Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration.加强观察性研究在流行病学中的报告 (STROBE)：解释和说明。
Int J Surg. 2014 Dec;12(12):1500-24. doi: 10.1016/j.ijsu.2014.07.014. Epub 2014 Jul 18.
10
Long-nerve grafts and nerve transfers demonstrate comparable outcomes for axillary nerve injuries.对于腋神经损伤，长神经移植和神经移位术显示出相似的效果。
J Hand Surg Am. 2014 Jul;39(7):1351-7. doi: 10.1016/j.jhsa.2014.02.032. Epub 2014 Apr 29.

体重指数升高会对腋神经肱三头肌肌支转移后肩外展力量的恢复产生负面影响。

Elevated Body Mass Index Negatively Impacts Recovery of Shoulder Abduction Strength in Triceps Motor Branch to Axillary Nerve Transfers.

机构信息

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Manitoba, Winnipeg, MB, Canada.

Division of Plastic and Reconstructive Surgery, Department of surgery, University of Ottawa, Ottawa, ON, Canada.

出版信息

Hand (N Y). 2023 Jan;18(1_suppl):36S-42S. doi: 10.1177/15589447221075664. Epub 2022 Mar 3.

DOI:10.1177/15589447221075664
PMID:35236161
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9896274/
Abstract

BACKGROUND

The purpose of this work was to evaluate the clinical outcomes of triceps motor branch to axillary nerve transfers and to identify prognostic factors which may influence these outcomes.

METHODS

A retrospective cohort included all patients who underwent a triceps motor branch to axillary nerve transfer (2010-2019) with at least 12 months of follow-up. The primary outcome measure was shoulder abduction strength assessed with British Medical Research Council (MRC) grade.

RESULTS

Ten patients were included with a mean follow-up of 19.1 (SD 5.9) months. Compared with preoperative MRC shoulder abduction strength (0.2 SD 0.4), patients significantly improved postoperatively (2.8 SD 1.6; = .005). Increased body mass index (BMI) was significantly associated with worse postoperative MRC ( = .014).

CONCLUSION

Triceps motor branch to axillary nerve transfer is a beneficial procedure for restoring shoulder function in patients presenting with either isolated axillary nerve or brachial plexus pathology. Patients with elevated BMI may not have as robust strength recovery and should be counseled carefully regarding prognosis.

摘要

背景

本研究旨在评估肱三头肌肌支转位至腋神经术的临床效果，并确定可能影响这些结果的预后因素。

方法

回顾性队列研究纳入了 2010 年至 2019 年间所有接受肱三头肌肌支转位至腋神经术（随访时间至少 12 个月）的患者。主要观察指标为采用英国医学研究理事会（MRC）分级评估的肩外展力量。

结果

共纳入 10 例患者，平均随访 19.1（SD 5.9）个月。与术前 MRC 肩外展力量（0.2 SD 0.4）相比，术后患者明显改善（2.8 SD 1.6；P=.005）。较高的体重指数（BMI）与术后 MRC 明显相关（P=.014）。

结论

对于患有单纯腋神经或臂丛病变的患者，肱三头肌肌支转位至腋神经术是一种有益的恢复肩部功能的方法。BMI 较高的患者可能不会有很强的力量恢复，应谨慎告知其预后情况。