Clinical findings in C5-C6 and C5-C7 root palsies with brachial plexus traction lesionsJ A Bertelli
Center of Biological and Health Sciences, Department of Neurosurgery, University of the South of Santa Catarina Unisul, Tubarao, SC, Brazil
J Hand Surg Eur Vol 38:237-41. 2013
..Contrary to commonly held beliefs, C5-C7 root injuries were not associated with loss of extension of the elbow, wrist, thumb, or fingers, but residual hand strength was much lower with C5-C7 vs C5-C6 lesions...
- Transfer of the pronator quadratus motor branch for wrist extension reconstruction in brachial plexus palsy
Jayme A Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianópolis and Tubarão, Santa Catarina, Brazil
Plast Reconstr Surg 130:1269-78. 2012
..In extended upper-type lesions of the brachial plexus, nerve transfers and root grafting have improved the results of shoulder and elbow reconstruction. However, wrist extension reconstruction has received little attention...
- Transfer of nerve branch to the brachialis to reconstruct elbow extension in incomplete tetraplegia: case report
Jayme Augusto Bertelli
Center of Biological and Health Sciences, Department of Neurosurgery, University of the South of Santa Catarina Unisul, Tubarao, SC, Brazil
J Hand Surg Am 37:1990-3. 2012
..Despite transferring an antagonist nerve for triceps reinnervation, the patient had no problems controlling active elbow flexion-extension. Harvesting the brachialis nerve caused no permanent decrease in elbow flexion strength...
- Grafting the C5 root to the musculocutaneous nerve partially restores hand sensation in complete palsies of the brachial plexus
Jayme Augusto Bertelli
Center of Biological and Health Sciences, Department of Neurosurgery, University of the Southern of Santa Catarina Unisul, Tubarao, SC, Brazil
Neurosurgery 71:259-62; discussion 262-3. 2012
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- Distal sensory nerve transfers in lower-type injuries of the brachial plexus
Jayme A Bertelli
Center of Biological and Health Sciences, Department of Neurosurgery, University of the South of Santa Catarina Unisul, Tubarao, Brazil
J Hand Surg Am 37:1194-9. 2012
..To report the results of sensory nerve transfers to reconstruct sensation on the ulnar side of the hand in lower-type palsies of the brachial plexus...
- Transfer of the distal terminal motor branch of the extensor carpi radialis brevis to the nerve of the flexor pollicis longus: an anatomic study and clinical application in a tetraplegic patient
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, SC, Brazil
Neurosurgery 70:1011-6; discussion 1016. 2012
..In tetraplegics, thumb and finger motion traditionally has been reconstructed via orthopedic procedures. Although rarely used, nerve transfers are a viable method for reconstruction in tetraplegia...
- C5-8 brachial plexus root injury: the "T-1 hand"
Jayme Augusto Bertelli
Center of Biological and Health Sciences, Department of Neurosurgery, University of the South of Santa Catarina Unisul, Tubarao, SC, Brazil
J Neurosurg 116:409-13. 2012
..Therefore, the authors have hypothesized that, for palsies of the thumb and finger extensors, the injury should affect the C-5 through C-8 roots...
- Abduction in internal rotation: a test for the diagnosis of axillary nerve palsy
Jayme Augusto Bertelli
Center of Biological and Health Sciences, Department of Neurosurgery, University of Southern Santa Catarina Unisul, Tubarao, SC, Brazil
J Hand Surg Am 36:2017-23. 2011
..To describe and validate the use of a test of abduction in internal rotation for the assessment of axillary nerve injury...
- Transfer of axillary nerve branches to reconstruct elbow extension in tetraplegics: a laboratory investigation of surgical feasibility
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, SC, Brazil
Microsurgery 31:376-81. 2011
..Via an axillary approach, either the teres minor or the posterior deltoid branch could be transferred directly to the thoracodorsal nerve or to triceps branches without any tension...
- Transfer of the teres minor motor branch for triceps reinnervation in tetraplegia
Jayme Augusto Bertelli
Department of Neurosurgery, Center of Biological and Health Sciences, University of the South of Santa Catarina Unisul, Tubarao, Santa Catarina, Brazil
J Neurosurg 114:1457-60. 2011
..Harvesting of the teres minor motor branch produced no deficits in shoulder function. In patients with tetraplegia, nerve transfer seems to be a promising new alternative for elbow extension reconstruction...
Contralateral motor rootlets and ipsilateral nerve transfers in brachial plexus reconstructionJayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Brazil
J Neurosurg 101:770-8. 2004
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- Nerve root grafting and distal nerve transfers for C5-C6 brachial plexus injuries
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Brazil
J Hand Surg Am 35:769-75. 2010
..To investigate the results of distal nerve transfer, with and without nerve root grafting, in C5-C6 palsy of the brachial plexus...
- Reconstruction of C5 and C6 brachial plexus avulsion injury by multiple nerve transfers: spinal accessory to suprascapular, ulnar fascicles to biceps branch, and triceps long or lateral head branch to axillary nerve
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, , , Santa Catarina 88020030, Brazil
J Hand Surg [Am] 29:131-9. 2004
..No donor site deficits were observed. CONCLUSIONS: The proposed nerve transfers constitute a valid strategy in C5-C6 avulsion injury reconstruction...
- Results of c5 root grafting to the musculocutaneous nerve using pedicled, vascularized ulnar nerve grafts
Jayme Augusto Bertelli
Governador Celso Ramos Hospital, Florianopolis, SC, Brazil
J Hand Surg Am 34:1821-6. 2009
..We report on the results we obtained with reconstruction of elbow flexion using long pedicled ulnar nerve grafts that connected the C5 root to the musculocutaneous nerve...
- Transfer of supinator motor branches to the posterior interosseous nerve in C7-T1 brachial plexus palsy
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Brazil
J Neurosurg 113:129-32. 2010
..In this paper, the authors report the clinical results of supinator motor nerve transfer to the posterior interosseous nerve in 4 patients with a C7-T1 root lesion...
- Axillary nerve repair by triceps motor branch transfer through an axillary access: anatomical basis and clinical results
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Brazil
J Neurosurg 107:370-7. 2007
..In this report, the surgical anatomy of the axillary nerve was studied with the goal of repairing the nerve through an axillary access...
- Transfer of the platysma motor branch to the accessory nerve in a patient with trapezius muscle palsy and total avulsion of the brachial plexus: case report
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Santa Catarina, Brazil
Neurosurgery 68:E567-70; discussion E570. 2011
..To report on the successful use of a platysma motor nerve transfer to the accessory nerve in a patient with concomitant trapezius and brachial plexus palsy...
- Anatomical feasibility of transferring supinator motor branches to the posterior interosseous nerve in C7-T1 brachial plexus palsies. Laboratory investigation
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Brazil
J Neurosurg 111:326-31. 2009
..Sacrifice of the supinator motor branches does not abolish supination because biceps muscle function is preserved in lower-type injuries of the brachial plexus...
- Sensory disturbances and pain complaints after brachial plexus root injury: a prospective study involving 150 adult patients
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, SC, Brazil
Microsurgery 31:93-7. 2011
..Even when T1 was the only preserved root, hand sensation was mostly spared. This indicates that overlapping of the dermatomal zones seems much more widespread than previously reported...
- Results of grafting the anterior and posterior divisions of the upper trunk in complete palsies of the brachial plexus
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, SC, Brazil
J Hand Surg Am 33:1529-40. 2008
..We report on the results obtained with reconstruction of the brachial plexus using short sural nerve grafts that connect nonavulsed roots to the anterior, posterior, or both divisions of the upper trunk...
- Brachialis muscle transfer to reconstruct finger flexion or wrist extension in brachial plexus palsy
Jayme Augusto Bertelli
Department of Plastic Surgery, Joana de Gusmão Children s Hospital, Florianopolis, SC, Brazil
J Hand Surg Am 31:190-6. 2006
..In this situation a distant muscle may be used. This study describes transfer of the brachialis muscle to the forearm muscles to reconstruct finger flexion or wrist extension in patients with brachial plexus injuries...
- Transfer of the accessory nerve to the suprascapular nerve in brachial plexus reconstruction
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, SC, Brazil
J Hand Surg Am 32:989-98. 2007
..The results of the transfer to the suprascapular nerve are compared with those of the combined repair of the suprascapular and axillary nerves...
- Thumb metacarpal vascularized bone graft in long-standing scaphoid nonunion--a useful graft via dorsal or palmar approach: a cohort study of 24 patients
Jayme Augusto Bertelli
Hospital Governador Celso Ramos, Department of Orthopedics, Hand Surgery Unit, , SC, Brazil
J Hand Surg [Am] 29:1089-97. 2004
..Because of its versatility for use by dorsal or palmar approach and reliability, the first dorsal metacarpal artery vascularized bone graft represents our method of choice...
- Very distal sensory nerve transfers in high median nerve lesions
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Brazil
J Hand Surg Am 36:387-93. 2011
..We report on the results of reconstruction of fingertip sensation by very distal nerve transfer in 8 patients with high median nerve lesions...
- The possible role of regenerating axons in pain persistence after brachial plexus grafting
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, SC, Brazil
Microsurgery 30:532-6. 2010
..Our findings suggest that pain after brachial plexus injury arises from nonavulsed rather than avulsed roots. After grafting, regenerating axons which have attained the periphery might be responsible for pain maintenance...
- Functional recovery improvement is related to aberrant reinnervation trimming. A comparative study using fresh or predegenerated nerve grafts
Jayme Augusto Bertelli
Centro De Ciências Biológicas E Da Saúde CCBS, Universidade do Sul de Santa Catarina Unisul, Tubarao, and Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, SC, Brazil
Acta Neuropathol 111:601-9. 2006
..Regeneration in predegenerated grafts was faster but the final rate of recovery was similar to conventional grafts...
- Long thoracic nerve: anatomy and functional assessment
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Praça Getulio Vargas, 322, Florianopolis, SC, 88020030, Brazil
J Bone Joint Surg Am 87:993-8. 2005
..The purposes of this study were to clarify the anatomy of the long thoracic nerve and to propose a clinical test to assess the function of the upper division of the long thoracic nerve...
- The mesh repair: tension free alternative on dealing with nerve gaps-experimental results
Paulo Roberto Kechele
Departamento de Clínica Cirúrgica, Centro de Ciencias da Saude, Universidade Federal de Santa Catarina, Trindade, Florianopolis, SC, Brazil
Microsurgery 31:551-8. 2011
..The EES and ATS surgical procedures methods demonstrated important similar results considering functional and molecular biology analysis of the median nerve injury...
- Combined injury of the accessory nerve and brachial plexus
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital Florianópolis, Santa Catarina, Brazil
Neurosurgery 68:390-5; discussion 396. 2011
..Stretch-induced spinal accessory nerve palsy has been considered extremely rare, with only a few cases reported...
- Improved technique for harvesting the accessory nerve for transfer in brachial plexus injuries
Jayme Augusto Bertelli
University of the South of Santa Catarina Unsul, Center of Biological Science and Health, CCBS, Tubarao, Brazil
Neurosurgery 58:ONS-366-70; discussion ONS-370. 2006
..We propose a technique for location and dissection of the accessory nerve between the deep cervical fascia and the trapezius muscle...
- Anatomical study of the plantaris tendon: reliability as a tendo-osseous graft
Marcos Antonio Dos Santos
Department of Orthopedic Surgery, Hospital de Guarnição de Florianópolis, Rua Silva Jardim, 441, Centro Florianópolis, Florianopolis, 88020 200, Brazil
Surg Radiol Anat 31:59-61. 2009
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- Long interpositional nerve graft consistently induces incomplete motor and sensory recovery in the rat. An experimental model to test nerve repair
Jayme Augusto Bertelli
Center of Biological and Health Sciences, University of the South of Santa Catarina Unisul, Av José Acácio Moreira, 787, Bairro Dehon, Cx Postal 370, Tubarão 88704 900, SC, Brazil
J Neurosci Methods 134:75-80. 2004
..This model of deficient reinnervation might prove to be of interest in testing of new strategies for the enhancement of nerve recovery...
- Brachial plexus avulsion injury repairs with nerve transfers and nerve grafts directly implanted into the spinal cord yield partial recovery of shoulder and elbow movements
Jayme Augusto Bertelli
Hospital Governador Celso Ramos, Praça Getulio Vargas 322, Florianopolis, Santa Catarina 88020030, Brazil
Neurosurgery 52:1385-9; discussion 1389-90. 2003
..The current treatment is based on nerve transfers, which yield very limited recovery. In this study, brachial plexus injuries were repaired with nerve transfers and nerve grafts directly implanted into the spinal cord...
- Refinements in the technique for repair of the accessory nerve
Jayme Augusto Bertelli
Department of Neurosurgery, Nossa Senhora da Conceição Hospital, Tubarao, Santa Catarina, Brazil
J Hand Surg Am 31:1401-6. 2006
..After accessory nerve grafting, pain and motion consistently improved in all patients. The technique proposed here ensures reliable and rapid identification of the divided stumps of the accessory nerve...
- Nerve repair by end-to-side coaptation or fascicular transfer: a clinical study
Jayme Augusto Bertelli
Hospital Governador Celso Ramos, , SC, Brazil
J Reconstr Microsurg 19:313-8. 2003
..Clinical, electrophysiologic and histologic recovery was not observed in the patients who underwent end-to-side nerve coaptation, but recovery was observed when a fascicular transfer was performed...
- Use of clinical signs and computed tomography myelography findings in detecting and excluding nerve root avulsion in complete brachial plexus palsy
Jayme Augusto Bertelli
Department of Neurosurgery, Nossa Senhora da Conceição Hospital, Tubarao, Santa Catarina, Brazil
J Neurosurg 105:835-42. 2006
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- Mesh epineurial splinting for late median nerve repair in older patients: a preliminary report
Jayme Augusto Bertelli
Center of Biological and Health Sciences, University of the South of Santa Catarina Unisul, Tubarao, SC, Brazil
Microsurgery 31:441-7. 2011
..These preliminary results suggest that, in older patients, the use of a mesh to splint the coaptation site followed by direct nerve repair yields better recovery than conventional sural grafts...
- Reconstruction of complete palsies of the adult brachial plexus by root grafting using long grafts and nerve transfers to target nerves
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Brazil
J Hand Surg Am 35:1640-6. 2010
..Nerve transfers were performed to restore function of the suprascapular nerve, triceps long head, and pectoralis major muscle...
- Brachial plexus dorsal rhizotomy in hemiplegic cerebral palsy
Jayme Augusto Bertelli
University of the South of Santa Catarina, UNISUL, Department of Biological and Health Science, CCBS, Praça Getulio Vargas, 322, Florianopolis, SC 88020030, Brazil
Hand Clin 19:687-99. 2003
..Children aged 5-6 years without muscle contractures are the ideal candidates to benefit fully from dorsal rhizotomy...
- Upper and lower trapezius muscle transfer to restore shoulder abduction and external rotation in longstanding upper type palsies of the brachial plexus in adults
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, Santa Catarina, Brazil
Microsurgery 31:263-7. 2011
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- Concepts of nerve regeneration and repair applied to brachial plexus reconstruction
Jayme Augusto Bertelli
Department of Neurosurgery, Nossa Senhora da Conceição Hospital, Tubarao, SC, Brazil
Microsurgery 26:230-44. 2006
..Surgical treatment of painful conditions and new drugs are also discussed...
- Transfer of a flexor digitorum superficialis motor branch for wrist extension reconstruction in C5-C8 root injuries of the brachial plexus: a case series
Jayme Augusto Bertelli
Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianopolis, SC, Brazil
Microsurgery 33:39-42. 2013
..In C5-C8 root injuries of the brachial plexus, transfer of a flexor digitorum superficialis motor branch to the extensor carpi radialis brevis produces limited recovery...
- The anabolic steroid nandrolone enhances motor and sensory functional recovery in rat median nerve repair with long interpositional nerve grafts
Marcos Flavio Ghizoni
University of Southern Santa Catarina Unisul, Tubarao, SC, Brazil
Neurorehabil Neural Repair 27:269-76. 2013
..Recovery from peripheral nerve repair is frequently incomplete. Hence drugs that enhance nerve regeneration are needed clinically...
