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Related Concept Videos

Spinal Nerves: Plexus I01:22

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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...
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Updated: Mar 2, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
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Structured Motor Rehabilitation After Selective Nerve Transfers

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Upper limb nerve transfers: A review.

A Forli1, M Bouyer1, M Aribert1

  • 1SOS main Grenoble, unité de chirurgie réparatrice, de la main et des brûlés, hôpital A.-Michallon, CHU de Grenoble, avenue du Marquis-de-Grésivaudan, BP 217, 38043 Grenoble cedex 09, France.

Hand Surgery & Rehabilitation
|May 20, 2017
PubMed
Summary
This summary is machine-generated.

Upper limb nerve transfers, initially for brachial plexus injuries, now treat post-ganglionic lesions. These transfers supplement traditional nerve repair, aiding targeted reinnervation and functional recovery.

Keywords:
Brachial plexusChirurgie nerveuseMembre supérieurNerve surgeryNerve transferPlexus brachialTransferts nerveuxUpper limb function

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery
  • Regenerative Medicine

Background:

  • Nerve transfers for upper limb injuries have evolved significantly over the past two decades.
  • Originally for brachial plexus injuries with nerve root avulsion, indications expanded to post-ganglionic lesions due to successful intraplexus transfers.
  • Traditional nerve repair (primary suture, nerve grafting) remains foundational but nerve transfers offer a complementary approach.

Purpose of the Study:

  • To review the expanded applications of upper limb nerve transfers.
  • To provide an overview of different nerve transfer techniques based on restored function.
  • To evaluate the quality of outcomes associated with various nerve transfers.

Main Methods:

  • Literature review of nerve transfer techniques in upper limb surgery.
  • Analysis of indications for nerve transfers, including brachial plexus injuries and post-ganglionic lesions.
  • Categorization of transfers by the specific upper limb function they aim to restore.

Main Results:

  • Expanded use of nerve transfers beyond initial indications has yielded excellent results.
  • Intraplexus nerve transfers are effective for post-ganglionic lesions.
  • Nerve transfers provide a targeted strategy for reinnervation, supplementing traditional repair methods.

Conclusions:

  • Nerve transfers are a valuable adjunct to primary suture and nerve grafting in upper limb surgery.
  • The technique allows for precise reinnervation, improving functional recovery in various nerve injuries.
  • Continued research and application of nerve transfers are crucial for advancing upper limb reconstructive surgery.