Related Experiment Video
Updated: May 9, 2026
09:42
Development of a Neonatal Rat Model for Brachial Plexus Birth Injury
Published on: March 27, 2026
End-to-side neurorrhaphy in brachial plexus reconstruction
Pavel Haninec1, Libor Mencl, Radek Kaiser
1Third Faculty of Medicine, Charles University, Department of Neurosurgery, Hospital Kralovske Vinohrady, Prague, Czech Republic.
Journal of Neurosurgery
|July 16, 2013
Summary
End-to-side neurorrhaphy (ETSN) shows a 43.5% success rate in brachial plexus reconstruction. This nerve repair technique is recommended for axillary nerve cases when standard donor nerves are unavailable.
Area of Science:
- Neurosurgery
- Peripheral Nerve Surgery
- Reconstructive Surgery
Background:
- Limited clinical trials exist for end-to-side neurorrhaphy (ETSN).
- ETSN is a technique for nerve reconstruction.
- Brachial plexus palsy requires complex nerve repair.
Purpose of the Study:
- To evaluate the clinical efficacy of ETSN.
- To assess ETSN in axillary and musculocutaneous nerve reconstruction.
- To determine the success rate of ETSN in brachial plexus injury.
Main Methods:
- Performed 23 ETSN procedures (21 axillary, 2 musculocutaneous) between 1999-2007.
- Utilized ETSN when primary donor nerves (thoracodorsal, medial pectoral) were unavailable.
- Employed perineurial suture with a perineurial window.
Main Results:
- Overall ETSN success rate was 43.5%.
- Successful reinnervation of the deltoid muscle via axillary nerve ETSN occurred in 47.6% of patients.
- Biceps muscle reinnervation via musculocutaneous nerve ETSN was unsuccessful in 2 patients.
Conclusions:
- ETSN is a viable option for axillary nerve reconstruction.
- ETSN should be considered when standard donor nerves are not accessible.
- Further research may be needed for musculocutaneous nerve reconstruction outcomes.
Related Concept Videos
01:22Spinal Nerves: Plexus I
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
01:21Spinal Nerves: Plexus II
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...