Evidence map›Paper›PMID 39276380›Full record

ArticleThe Journal of hand surgery, European volume2025

Results of spinal accessory nerve to suprascapular nerve transfers in children with brachial plexus birth injury.

Maria Hyttinen, Henrikki Rönkkö, Pasi Paavilainen, Mika Helminen, Jarkko Jokihaara

Abstract read
In one paragraph

Article in The Journal of hand surgery, European volume, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Multidisciplinary rehabilitation network enhances outcomes after nerve transfer in brachial plexus birth injury.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Maria HyttinenFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0009-0007-2460-3593
Henrikki RönkköDivision of Musculoskeletal Diseases, Tampere University Hospital, Tampere, Finland.
Pasi PaavilainenPihlajalinna Hospital, Tampere, Finland.
Mika HelminenTays Research Services, Tampere University Hospital, Wellbeing Services County of Pirkanmaa, Tampere, Finland and Faculty of Social Sciences, Health Sciences, Tampere University, Tampere, Finland.
Jarkko JokihaaraFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.ORCID 0000-0001-6153-2180

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Shoulder external rotation after brachial plexus birth injury can be restored by transfer of the spinal accessory nerve to the suprascapular nerve, or more distally to its infraspinatus branch. We studied the outcome of these nerve transfers in 52 patients with a minimum postoperative follow-up of 12 months (mean 7.3 years). The median postoperative improvement in shoulder external rotation was 120° (interquartile range [IQR] 45-135) after anterior and 110° (IQR 83-120) after dorsal spinal accessory nerve transfer to the suprascapular nerve main trunk, and 110° (IQR 80-125) after transfer to the infraspinatus branch. Patients operated after 20 months obtained external rotation ≥90° less frequently. The results of this study suggest that a decision about distal nerve transfer for shoulder external rotation is recommended at 1.5 years of age.

Indexed as

Accessory NerveBrachial PlexusNeonatal Brachial Plexus PalsyNerve TransferScapulaFemaleFollow-Up StudiesHumansInfantLogistic ModelsMalePostoperative PeriodRange of Motion, ArticularRotator CuffShoulderTreatment Outcomebirth injuryBrachial plexusexternal rotationnerve transfershoulder joint

Identifiers

PMID39276380
PMCPMC11849251

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.