AHN Among Few Centers in Region Performing Nerve Transfers for Brachial Plexus Injuries

AHN’s Center for Nerve & Brachial Plexus Injury: Providing Leading-Edge Nerve Transfers and More

The AHN Orthopaedic Institute is among few centers in the region performing complex nerve transfers for brachial plexus injuries — a highly specialized intervention offering new hope for patients with devastating upper extremity trauma.

Why refer to AHN

For patients with traumatic brachial plexus injuries, timely referral is critical. Nerve transfers are most effective when performed within six to nine months of injury. Delayed referral may limit surgical options and functional recovery. After one year, studies show that the success rate of a nerve transfer drops significantly.*

“These are intricate, time-sensitive cases,” says Peter Tang, MD, MPH, Chief of the AHN Hand Division and Director of the Center for Nerve & Brachial Plexus Injury. “We encourage early referrals — even if just for evaluation — so we can monitor recovery and intervene appropriately if natural nerve healing does not occur.”

Surgical expertise, regional access

Dr. Tang and his team offer comprehensive evaluation and care for upper trunk injuries involving the shoulder, elbow, and biceps, where nerve transfer outcomes have been especially promising.

“We’re one of the few teams in the region offering this level of nerve reconstruction,” said Dr. Tang. “With the right tools and timing, we have the opportunity to restore function where it was once thought lost.”

Collaborative, long-term follow-up

Even when repaired, nerve function does not always return. However, with the proper care and diligent methods of recovery, patients can increase their chances at restoring partial nerve function.

Patients referred to AHN receive coordinated care across orthopaedics, physical and occupational therapy, and orthotics when needed to help patients maintain motion and strength of their affected joints and support the healing process.

AHN’s additional support for nerve injuries

In addition to nerve transfers, AHN is leading the way in innovative treatment and research for other nerve conditions including:

• Carpal tunnel syndrome.
• Cubital tunnel syndrome.
• Lacerations of the forearm.
• Digital lacerations.
• Nerve compression.

Most recently, Dr. Tang’s team is researching possible causes for cubital tunnel syndrome by placing radiopaque markers on the ulnar nerve of a cadaver via ultrasound, and measuring nerve tension when the elbow is moved.**

“AHN is a teaching institution, so we’re always keeping up with the latest advancements and research,” said Dr. Tang. “We have the resources to provide subspecialized treatment and invest in patient recovery to provide optimal results, especially for complex injuries.”

How to refer

To make a referral to AHN’s Center for Nerve and Brachial Plexus Injury, call 412-359-8098.

*Source:Nerve Transfers for Brachial Plexus Reconstruction in Patients over 60 Years.NIH.gov

**Source: Assessment of ulnar nerve tension directed towards understanding cubital tunnel syndrome. NIH.gov