Muscle Transfers (peripheral nerve disorders)

For severe brachial plexus injuries, or when brachial plexus repair does not provide recovery, then a muscle transfer may be an option. Usually, the gracilis muscle is removed from the inside the thigh and placed in the arm. The cut vessels and nerves to this muscle are re-connected to donors near the shoulder. You do not have noticeable weakness in the leg after this procedure.

This muscle may be used for arm flexion, arm extension, and even finger/wrist movement. This technique can be performed even years after brachial plexus injury, as long as joint mobility is adequate, and a donor nerve is available.

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