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Neonatal Brachial Plexus Palsy with Neurotmesis of C5 and Avulsion of C6 by M.J.A. Malessy, and W. Pondaag J Bone Joint Surg Am Volume 96(20):e174 October 15, 2014 ©2014 by The Journal of Bone and Joint Surgery, Inc.
Severe upper neonatal brachial plexus palsy lesion with neurotmesis of C5 and avulsion of C6. 1: C5 neuroma extending into the C5 contribution to the superior trunk. M.J.A. Malessy, and W. Pondaag J Bone Joint Surg Am 2014;96:e174 ©2014 by The Journal of Bone and Joint Surgery, Inc.
Fig. 2-A The proximal part of an avulsed spinal nerve (SN), with morphological identification of the dorsal root ganglion (DRG), the anterior root filaments (ARF), and the posterior root filaments (PRF). M.J.A. Malessy, and W. Pondaag J Bone Joint Surg Am 2014;96:e174 ©2014 by The Journal of Bone and Joint Surgery, Inc.
Six patients in Group A had supraclavicular intraplexal nerve transfer of the anterior root filaments of C6 (1) to the caudal part of the proximal stump of C5 with a direct tensionless coaptation. 2: Two grafts run from C5 to the C5 contribution to the post... M.J.A. Malessy, and W. Pondaag J Bone Joint Surg Am 2014;96:e174 ©2014 by The Journal of Bone and Joint Surgery, Inc.
Eleven patients in Group A had intraplexal transfer of the entire C6 spinal nerve with direct coaptation to C5. 1: C6 contribution to the posterior division of the superior trunk. 2: C5 contribution to the posterior division of the superior trunk is not rec... M.J.A. Malessy, and W. Pondaag J Bone Joint Surg Am 2014;96:e174 ©2014 by The Journal of Bone and Joint Surgery, Inc.
Group B was treated with grafting from C5 to the anterior division of the superior trunk (ADST). 1: The first priority of our reconstructive strategy was restoration of elbow flexion. M.J.A. Malessy, and W. Pondaag J Bone Joint Surg Am 2014;96:e174 ©2014 by The Journal of Bone and Joint Surgery, Inc.
Alternative nerve reconstructive strategy for severe upper neonatal brachial plexus palsy lesions with neurotmesis of C5 and avulsion of C6. 1: C5 is used exclusively for restoration of shoulder function through grafting to the posterior division of the sup... M.J.A. Malessy, and W. Pondaag J Bone Joint Surg Am 2014;96:e174 ©2014 by The Journal of Bone and Joint Surgery, Inc.
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