Patient has reported 5th-7th cervical root avulsions. Intraoperative stimulation showed that C-5 was not avulsed, ... read more ↘ and following neurolysis of the upper trunk, stimulation ellicited contraction of the deltoid and biceps. Further, stimulation of the suprascapular nerve ellicited contraction of the supraspinatus muscle. Thus, the potential for further recovery without nerve transfers or grafting exists.
Surgical intervention for such devastating injury relies on thorough understanding of brachial plexus anatomy, skilled interpretation of intraoperative nerve stimulation, and expert execution of a carefully considered surgical plan. ↖ read less
