Spinal Accessory Nerve Versus Intercostal Nerve Transfer to Restore Elbow Flexion in Adult Traumatic Brachial Plexus Injuries

Overview

About this study

The purpose of this study is to review the clinical outcomes of our spinal accessory and intercostal nerve transfers to musculocutaneous nerve (MCN for) elbow flexion in brachial plexus injury (BPI) patients and determine which transfer had more patients recovering MRC grade 4 elbow flexion.

 

Participation eligibility

Participant eligibility includes age, gender, type and stage of disease, and previous treatments or health concerns. Guidelines differ from study to study, and identify who can or cannot participate. There is no guarantee that every individual who qualifies and wants to participate in a trial will be enrolled. Contact the study team to discuss study eligibility and potential participation.

Inclusion Criteria:

  • Adult (≥ 18 years of age) traumatic brachial plexus injury (BPI) patients who underwent spinal accessory nerve or intercostal nerves transfer to musculocutaneous nerve or branch to biceps from Jan 1 2010 to Dec 31 2020.
  • Once consented, they will be given an appointment to return to the Mayo Clinic Brachial Plexus clinic for a physical follow-up to undergo a standard post nerve reconstruction evaluation.  For patients who consented but are not able to travel to Mayo Clinic for a physical review, a virtual consult will be scheduled. 

Exclusion Criteria: 

  • Patients less than 18 years old and those with brachial plexus palsy resulting from birth injury, compressive neuropathy, resection of tumors, cervical spine surgery, radiation therapy, inflammatory or auto-immune conditions will be excluded.

Note: Other protocol defined Inclusion/Exclusion Criteria may apply.

Eligibility last updated 1/11/23. Questions regarding updates should be directed to the study team contact.

Participating Mayo Clinic locations

Study statuses change often. Please contact the study team for the most up-to-date information regarding possible participation.

Mayo Clinic Location Status Contact

Rochester, Minn.

Mayo Clinic principal investigator

Alexander Shin, M.D.

Open for enrollment

Contact information:

Ellen Lee M.D.

(507) 284-9593

Lee.Ellen@mayo.edu

More information

Publications

Publications are currently not available