3d Welcome 3d Accommodation 48 Exhibition & Sponsorship 43 General information 3f Important Dates 44 Scientific Committee 42 Scientific Program 3f Transportation 10c
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Scientific Program

Dear Participant

You will find hereafter the provisional programme of the XVIII. Symposium for the Club A. Narakas as at the 22nd of April 2013.

This programme is not to be considered as final as changes may still occur.

Kindly note that the presenting author(s) need to register officially and need to pay the indicated Registration fee to be able to attend the Symposium and to present the abstract. The designated presenting author(s) must register to the Narakas 2013 Symposium and pay the corresponding registration fee by Tuesday, 30 April 2013 at the very latest. Should the presenting author(s) not be registered (and having paid his/her registration) by this date, the presentation will be withdrawn.

If the registration has not been done yet, we invite you to register now by clicking on the link on the right side of this page.

Programme Overview

Thursday, 23 May 2013
Time Foyer Miles Davis
Grand Rue
Miles Davis Superior
Plenary Room
Miles Davis Superior
Session Room
12:30-13:30 Lunch Break  
13:30-13:45 TOS and Pain
13:45-15:15  
15:15-15:45 Coffee Break
15:45-18:00 Plexic Hand OBP Adults

Friday, 24 May 2013
Time Foyer Miles Davis
Grand Rue
Miles Davis Superior
Plenary Room
Miles Davis Superior
Session Room
08:00-10:00 Shoulder OBP
10:00-10:30 Coffee Break
10:30-12:15 Shoulder Adults
12:15-12:45 Research I
12:45-13:15 Lunch Break
13:15-13:45 Reeducation 1st Session Council Meeting
13:45-14:00  
14:00-16:15 Late Elbow Adult and Child
Part I
16:15-16:45 Coffee Break
16:45-18:00 Late Elbow Adult and Child
Part II

Saturday, 25 May 2013
Time Foyer Miles Davis
Grand Rue
Miles Davis Superior
Plenary Room
Miles Davis Superior
Session Room
08:00-09:45 Plexus Repair OBP and Adults
Part I
09:45-10:15 Coffee Break
10:15-11:45 Plexus Repair OBP and Adults
Part II
11:45-12:45 Root Replantation and Research
12:45-13:15 Lunch Break
13:15-14:00 Reeducation 2nd Session Poster Discussion
14:00-15:30 Late Nerve Repair
15:30-16:00 Coffee Break
16:00-17:30 Research II

Provisional Programme as at 22 April 2013

Thursday, 23 May 2013
Lunch 12:30 C 13:30
TOS AND PAIN 13:30 C 15:15
Chairmen: Merle M., Meyer R.
Supraclavicular first rib resection for thoracic outlet syndrome: 1-year-outcome and postoperative residual pain
Bauer C., Stober R. (Glarus, Switzerland)
13:30
Cervical ribs and TOS
Belzberg A., Viertel V., Yousem D. (Baltimore, USA)
13:38
Thoracic Outlet syndrome:Surgery based on results, not Science
Meyer R. (Birmingham, USA)
13:46
Evaluation of 90 cases of neurolysis of the brachial plexus at the interescalene and pectoral minor spaces.
Paulos R., Merle M., Borrely J. (Luxembourg)
13:54
Challenge for TOS
Schoofs M. (Lille, France)
14:02
Neurogenic Thoracic Outlet Syndrome: objective criteria to indicate surgery
Weigel G., Girsch W. (Graz, Austria)
14:10
Radiological imaging of cervico-cupolar ligaments in patients with TOS-symptoms?
Bodner G. (Vienna, Austria)
14:18
DISCUSSION 14h25 C 14h40
Evolution of neuropathic pain after brachial plexus injuries : a 20 years follow-up
Wehrli L., Narakas A., Bonnard C. (Lausanne, Switzerland)
14:41
The DREZ Procedure for Avulsion Injury, an Update.
Belzberg A. (Baltimore, USA)
14:49
The Long Term Safety and Efficacy of Intrathecal Therapy Using Sufentanil in Chronic Intractable Neuropathic Pain
Monsivais J. (El Paso Texas, USA)
14:57
DISCUSSION 15h05 C 15h15
Coffee Break
15:15 C 15:45
HAND ADULT AND OBP
15:45 C 18:00
Chairmen: Muset A., Malessy M.
Management of the hand function in adult brachial plexus injuries
Novikov M., Torno T. (Yaroslavl, Russia)
15:45
Outcomes of reinnervation of forearm flexors using ipsilateral root stumps or contralateral C7 transfer.
Bhatia A. (Mumbai, India)
15:50
Biceps to flexors tendons transfer to restore finger flexion
C. Oberlin (Paris, France)
15:58
Transfer of the Pronator Quadratus Motor Branch for Wrist Extension Reconstruction in Brachial Plexus Palsy
Bertelli J., Ghizoni M. (Florianapolis, Brazil)
16:06
Phrenic nerve direct coaptation with the posterior division of lower trunk for finger and elbow extension reconstruction in total brachial plexus avulsion injuries
LI Peng-Cheng, Wang Shu Feng (Beijing, China)
16:11
Free Gracilis Transfer Reinnervated by the Nerve to the Supinator for the Reconstruction of Finger and Thumb Extension in Longstanding C7-T1 Brachial Plexus Root Avulsion
Soldado F., Bertelli J. (Barcelona and Florianapolis, Spain and Brazil)
16:19
DISCUSSION 16h25 C 16h50
Hand outcomes in operative management of complete obstetrical brachial plexus palsy
Clarke H., Harvey I.,
(Toronto, Canada)
16:50
Results of hand re-innervation, a follow-up study
Pondaag W., Malessy M.
(Leiden, The Netherlands)
16.58
OBP Results in hand
Muset A. (Barcelona, Spain)
17:06
Vascularized muscle transfers
Bahm J. (Aachen, Germany)
17:14
Modified Outerbridge - Kashiwagi Procedure for Elbow flexion Contractures in Adolescents with Brachial Plexus Birth Injuries
Price AE. (New York, USA)
17:22
DISCUSSION 17h30 C 18h00

Friday, 24 May 2013
OBP SHOULDER
08:00 C 10:00
Chairman: Borrero P.
The Significance of the Gleno-humeral Joint in Obstetric Brachial Plexus Lesion
Millesi H., Schmidhammer R., Schmidhammer M. (Vienna, Austria)
08:00
The shoulder in the OBP
Muset A. (Barcelona, Spain)
08:08
Shoulder Outcomes in Obstetric Brachial Plexus Palsy
Fox M. (Stanmore, UK)
08:16
Real external rotation in OBPP
Becker M., Lassner F. (Aachen, Germany)
08:21
Combined transfer of the middle trapezius muscle to the infraspinatus tendon with transfer of the motor branch of the lower trapezius to the motor branch of the infraspinatus muscle for the treatment of external rotation deficit in OBPP.
Bertelli J. (Florianapolis, Brazil)
08:26
How is shoulder abduction affected by open surgery for correction of rotation deformity in OBP?
Hultgren Th. (Stockholm, Sweden)
08:31
Reconstruction of shoulder abduction and external rotation in obstetric brachial plexus palsy; results of 253 patients
Berk?z O., Ayd?n H., ?zkan S., Y?ld?r?m Z., Ayd?n A., ?zkan T. (Istambul, Turkey)
08:39
Surgical treatment of shoulder joint posterior dislocation secondary to internal rotation contracture deformity in brachial plexus birth palsy
Wang Shu-Feng, Li P, Xue Y (Beijing, China)
08:44
Glenoplasty for complex shoulder subluxation and dislocation in children with obstetric brachial plexus palsy.
Sinisi M., Fox M., Maquillan A., Quick T. (London, UK)
08:52
Subscapularis release for correction of the internal rotation contracture
Price A., Immerman I., Valencia H., DiTaranto P., DelSole E., Glait S., Grossman J. (New York, USA)
09:00
Shoulder External Rotation: How Important is it? What causes limitation? How is it diagnosed? When is coracoidectomy indicated?
Borrero P. (Orlando, USA)
09:05

DISCUSSION 09h10 C 10h00
Coffee Break
10:00 C 10:30
SHOULDER ADULT 10:30 C 12:15
Chairman: Oberlin C.
Comparison between Long Nerve Grafts and Nerve Transfers for Axillary Nerve Injuries
Wolfe S., Johnsen P. (New York, USA)
10:30
Triceps motor branch to axillary nerve neurotization
Titolo P., Battiston B., Conforti L., Ciclamini D., Panero B., Poggetti P., TOS
10:38
Anatomic study of the intercostal nerve transfer to the suprascapular nerve and a case report
Shaonan Hu (Shanghai, China)
10:43
Isolated latissimus dorsi transfer to restore shoulder external rotation in adults with brachial plexus injury
Fox M. (Stanmore, UK)
10:48
Palliative late surgery after ss and/or ax palsy "Transfer of the mid and lower trapezius muscle onto the shoulder: technics and series
Elhassem B. (Rochester, USA)
10:53
Functional outcome of glenohumeral fusion in brachial plexus palsy: a report of 54 cases.
Oberlin Ch., Belkheyar Z., Atlan F.
(Paris, France)
11.01
Trapezius muscle transfer in patients with brachial plexus injury
Bignion D., V?gelin E. (Bern, Switzerland)
11:09
Subclavius Posticus: An Anomalous Muscle Causing Suprascapular Nerve Compression in an Athlete
Scott W., Cogar A., Potter Johnsen P.
(New York, USA)
11:17
Palliative surgery of the scapulothoracic joint
Elhassem B. (Rochester, USA)
11:20
Serratus muscle palsy: series and current attitude
Oberlin Ch., Belkheyar Z. (Paris, France)
11:28
DISCUSSION 11h36 C 12h10
RESEARCH I 12:15 C 12:45
Chairman: Bahm J.
Movement analysis in OBP children
Bahm J. (Aachen, Germany)
12:15
The predictive value of infraspinatus EMG for subsequent surgical intervention to improve shoulder function in neonatal brachial plexus palsy
Bjorklund K.., Michaud L.., Schwentker A.., Louden E. (Cincinnati, USA)
12:30
Does the trapezius play a role during upper extremity motion in patients with obstetrical brachial plexus birth palsy?
Chu A., Aluru V., Sala D., Raghavan P.
(New York, USA)
12:35
DISCUSSION 12h40 C 12h45
Lunch 12:45 C 13:45
REEDUCATION 1st SESSION 13:15 C 13:55
Chairman: Clarke HM.
The Brachial Plexus Outcome Measure: Functional evaluation of the school-aged child
Ho E, Curtis CG., Clarke HM., (Toronto, Canada)
13:15
Somatosensory Deficits in Children with Neonatal Brachial Plexus Palsy
Brown S., Wernimont CW., Phillips LJ. , Yang LJ. , Nelson VS. (Ann Arbour, USA)
13:23
A comprehensive systematic review of evaluation methods for neonatal brachial plexus palsy
Yang LJS., Chang KWC., Justice D.,
Chung KCC. (Ann Arbour, USA)
13:28
High Prevalence of Early Language Delay Exists Among Toddlers with Neonatal Brachial Plexus Palsy
Simson Nelson V., Chang KWC., Driver L., Yang L. (Ann Arbour, USA)
13:31
The Impact of Brachial Plexus Injuries on Families and Social Functioning in Youth
Allgier A OTR/L., Louden E., Mentroski J., Overton M., Duncan Ch., Melanson A., Rinaldi R., Michaud L.
(Cincinnati, USA)
13:36

DISCUSSION 13h41 C 13h55
LATE ELBOW ADULTS AND CHILDREN
Part I 14:00 C 16:15
Chairmen: A. Gilbert, R. Cornwall
Paralysis: anything new?
Obstetrical Brachial Plexus Injuries: Late Functional Results Of 27 Cases After Elbow Reanimation Using Steindler Flexorplasty.
Posso C., Gilbert A. (Paris, France)
14:00
Partial transfer of the triceps for elbow flexion
Gharbaoui I. (Houston, USA)
14:08
Innervation of the triceps
Almeshal O. (Ryiadh, Saudi Arabia)
14:16
Transfer of the pectoralis major muscle to restore elbow flexion . About 30 cases
Oberlin C., Belkheyar Z. (Paris, France)
14:21
DISCUSSION 14h30 C 15h00
Elbow contracture
The biology of contractures: lessons from the elbow
Cornwall R. (Cincinnati, USA)
15:00
Popeye muscle morphology: impaired biceps growth in OBPI elbow flexion contracture
De Matteo C., Gjertsen D., Bain JR., Coroneos CJ., Maizlin ZV. (Hamilton, Canada)
15:05
Serial casting and splinting of elbow contractures in children with obstetric brachial plexus palsy
Ho ES., Roy T., Stephens D., Clarke HM.
(Toronto, Canada)
15:10
Plaster treatment
Gilbert A., Abarca (Paris, France)
15:18
Surgical release
Gilbert A. (Paris, France)
15:23
Resection of olecranon for elbow extension
Senes F. (Genova, Italy)
15:31
DISCUSSION 15h40 C 16h15
Coffee Break 16:15 C 16:45
LATE ELBOW ADULTS AND CHILDREN
Part II 16:45 C 18:00
Chairmen: A. Gilbert, R. Cornwall
Radial head dislocation, supination and pronation deformity
Results after surgery for radial head subluxation
Bahm J. (Aachen, Germany)
16:45
Treatment of supination deformity in OBP
Metsaars WP., Nagels J., Nelissen R.
(Leiden, The Netherlands)
16:51
Transfert of biceps brachii onto brachialis in the supinated hand due to OBP: impact on the elbow flexion strength
Lardjane K., Guerguadj A. (Alger, Algeria)
16:57
Restoration of pronosupination by brachioradialis rerouting
Ozkan T. (Istanbul, Turkey)
17:03
Outcome of Pronator teres recession for pronation deformity of forearm in Obstetric brachial plexus palsy.
Thatte M., Rathod C., Mehta R.
(Mumbai, India)
17:09
DISCUSSION 17h15 C 18h00

Saturday, 25 May 2013
PLEXUS REPAIR CHILDREN AND ADULTS
Part I 08:00 C 09:45
Chairmen: Millesi H., Landi A.
Our concept of the surgical treatment of brachial plexus lesions with avulsion of four or five root
Millesi H (Wien, Austria)
08:00
Contralateral C7 nerve transfer with direct coaptation to restore lower trunk function in patients with traumatic brachial plexus avulsion injuries
Wang Shu-Feng, Li P, Xue Y (Beijing China)
08:08
CC7 nerve root transfer to neurotize the upper trunk via a modified prespinal route in repair of brachial plexus avulsion injury
Liu W., Wang Shu-Feng (Sheniyang and Beijing, China)
08:20
Prevention and management of the complication of contralateral C7 nerve root transfer through the modified prespinal route to repair the brachial plexus nerve root avulsion injury
Li Wenjun, Wang Shu-Feng (Beijing, China)
08:28
Histological examination of vascularised ulnar nerve in contralateral C7 transfer
Wehner S., Becker M., Lassner F., Sellhaus B.
(Aachen, Germany)
08:36
40 cases of total paralysis of the brachial plexus with systematic transfer of intercostal nerves of the musculocutaneous
Belkheyar Z., Oberlin C. (Paris, France)
08:39
Objective evaluation of elbow flexion strength after nerve transfer in adult traumatic upper brachial plexus injuries.
Schuind F., Jeunehomme M., Mouraux D., Brassinne E., Rmy P., Bahm J.
(Bruxelles, Belgium)
08:47
Co-relation of Compound muscle action potential of donor nerves with recovery of elbow flexion in Oberlin transfer in Brachial plexus injury.
Thatte M., Raut B. (Mumbai, India)
08:52
Recovering elbow extension by using a healthy fascicles from the radial nerve: the concept of the nerve reinnervating itself.
Pretto Flores L. (Brasilia, Brazil)
08:57
Nerve transfers using collateral branches of the brachial plexus as donors in patients with upper palsy
Rasuli? L., Samard?i? M., Laki?evi? N., Ba??arevi? V., Cvrkota I., Savi? A (Belgrad, Serbia, Podgorica, Montenegro)
09:00
DISCUSSION 09h05 C 09h45
PLEXUS REPAIR CHILDREN AND ADULTS
Part II 10:15 C 11:45
Chairmen: Howard Clarke
The obstetrical brachial plexus palsy: about a cohort of 81 children.
Beressa I. Oran (Algeria)
10:15
Evaluation of natural history of obstetric brachial plexus palsy
Balakrishnan (Chennai, India)
10:21
Neonatal Brachial Plexus Palsies with Neurotmesis C5 and Avulsion C6: Supraclavicular reconstruction strategies and outcome.
Malessy M., Pondaag W. (Leiden, The Netherlands)
10:27
What do we know about brachial plexus injuries, NOT RELATED to birth in children under 10 years of age?
Borrero P (Orlando, USA)
10.35
Diaphragmatic dysfunction in neonatal brachial plexus
Yakuboff K., Miller M., Louden E. (Cincinnati, USA)
10:43
Functional Recovery of Elbow Flexion and Supination Following Median and/or Ulnar Nerve Fascicle Transfer in Upper Neonatal Brachial Plexus Palsy
Little K., Zlotolow D., Soldado F., Cornwal R., Kozin S., (Cincinnati and Philadelphia, USA; Barcelona, Spain; Lisboa, Portugal)
10.48
Functional Recovery of Shoulder Abduction and External Rotation Using Spinal Accessory to Suprascapular Nerve Transfer in Neonatal Brachial Plexus Palsy
Little K., MD., Eismann E., Louden E., Cornwall R. (Cincinnati, USA)
10:54
50 cases with F/U 2 years
Hamdi NB (Ryiadh, South Arabia)
11:00

DISCUSSION 11h06 - 11h45
ROOT REPLANTATION AND RESEARCH 11:45 C 12:45
Chairmen: Bertelli J.
The Stockholm experience of intraspinal plexus repair
Carlstedt T., Hultgren T., Pedersen K., Svensson M. (Stockholm, Sweden)
11:45
Clinical and experimental strategies to restore sensory function after dorsal root avulsion.
Carlstedt T. (Stanmore, UK)
11:50
The long-term outcome of brachial plexus re-implantation following complete brachial plexus avulsion injury and repair.
Kachramanoglou C., Koltzenburg M., Carlstedt T. Choi D., (London, UK)
11:55
Metabolic changes in the spinal cord after brachial plexus root re-implantation
Kachramanoglou C., De Vita C., Thomas D., Wheeler-Kingshott C., Balteau E., Carlstedt T., Choi D., Thompson AJ., Ciccarelli O. (London, UK).
12:00
Pseudomeningoceles associated with extradural arachnoid cysts and/or spinal cord compression in pediatric brachial plexus injuries: a case series.
Mendoza P., Michaud L., Schwentker A., Miller M., Louden E., Yakuboff K. (Cincinnati, USA)
12:05
The Predictive Value of CT Myelography, MR Myelography, or both in Infant Brachial Plexus Palsy
Tse R., Nixon J., Kuhlman-Wood K., Ishak G. (Seattle, USA)
12:10
Experimental neurotisation of totally avulsed brachial plexus by grafting from cortico-spinal tract (below T3 above T5): a suggestion for bilateral brachial plexus avulsion or unilateral avulsion in paraplegics.
Giorgio Brunelli (Brescia, Iktaly)
12:15

DISCUSSION 12h25 - 12h45
Lunch Break 12:45 C 14:00
REEDUCATION 2nd SESSION 13:15 C 14:00
Chairmen: Senes F.
Building a Comprehensive Pediatric Brachial Plexus Program C the nuts and bolts of an interdisciplinary model
Tse R., Lewis S., Allen H., Ishak G., Jio J. (Seattle, USA)
13:15
Evaluating the acromion marker cluster as a method for measuring scapular orientation in children with brachial plexus birth palsy
Letourneau P., Zlotolow D., Thomas K., Russo S., Kozin S., Hulbert R., Rowley KM, Richards J. (Philadelphia, USA)
13:20
Limited glenohumeral horizontal adduction in children with brachial plexus birth palsy: A contributor to scapular winging
Letourneau P., Zlotolow D., Russo S., Loeffler BJ., Kozin S., Richards J., Ashworth S.
(Newark (DE) and Philadelphia, USA)
13:24
Early full passive range of motion does not increase the prevalence of shoulder subluxation in children with neonatal brachial plexus palsy
Justice D. (OT), Rasmussen L., Chang KW., Yang LJS., Nelson V., Murphy S.,
DiPietro M. (Ann Arbor, USA)
13:28
Home Exercise DVD Promotes Exercise Accuracy by Caregivers of Children with Neonatal Brachial Plexus Palsy
Rasmussen L., Justice D., Chang KWC., Nelson V., Yang L. (Ann Arbour, USA)
13:33
Oxytocin and Uterine Tachysystole are Risk Factors for Neonatal Brachial Plexus Palsy
Mehlman Ch., Marcotte M., Louden E.
(Cincinnati, USA)
13:38
Development of a New Yoga-based Stretching Protocol for Pediatric Patients with Brachial Plexus Palsy
Miller K., OTRL Maya S.
(Columbus, OH, USA)
13:43

DISCUSSION 13:48 - 13:55
LATE SURGERY 14:00 C 15:30
PANEL
Introduction
Raimondi P (Legnano,Italy) 14:00
Gilbert A (Paris, France) 14:05
Belzberg A (Baltimore, USA) 14:11
Senes F (Genova, Italy) 14:17
Grossman J (Miami, USA) 14:23
Malessy M (Leiden, The Netherlands) 14:29
El-Gammal T (Assiut, Egypt)
14:35
Paavilainen P (Tempere, Finland) 14:41
Conclusion
Raimondi P (Legnano,Italy) 14:47
DISCUSSION 15h00 C 15h30
Coffee Break 15:30- 16:00
RESEARCH II 16:00 C 17:30
Chairmen: Bahm J., Raffoul W.
Neuropathology of peripheral nerve lesions
B. Sellhaus (Aachen, Germany)
16:00
Nerve Reconstruction with processed allograft (Avance?) - One year experience
V?gelin E., Juon B. (Bern, Switzerland)
16:15
Fibrin sealant in nerve repair, whats new?
Bagot d'Arc (Baxter, France)
16:23
Nerve regenerative electrode implants based on soft materials
Lacour S. (EPFL, Lausanne, Switzerland)
16:35
Regenerative cells coupling commercially available collagen nerve guides: early outcomes in nerve regeneration in vivo
Di Summa P. (Lausanne, Switzerland)
16.45
Regenerative cell injection in denervated muscle reduces atrophy and enhances recovery following nerve repair
Schaakxs D., Kalbermatten D., Raffoul W., Wiberg M., Kingham P. (Lausanne, Bale, Switzerland, Manchester, UK)
16:50
A new project in the combined Spinal Cord lesions and Brachial Plexus Injuries
Abate M., Mariano P., Landi A. (Modena, Italy)
16:55

DISCUSSION 17h00 C 17h30
8c3

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