Congress info





Thursday 16 May 2019

07.30  Registration & Coffee 
08:30  Welcome
Martijn Malessy and Willem Pondaag 
08:45 OBPL general
Moderators Alain Gilbert and Howard Clarke
  New technologies in the treatment of OBPL - Alain Gilbert
  Primary shoulder reconstruction in OBPL- Howard Clarke
09:15 Scientific paper session 1 (click to open)
 1.1 The natural history of recovery of elbow flexion after obstetric brachial plexus injury managed without nerve repair
Tim Hems, Glasgow
 1.2Exploring the Incidence of Isolated Dorsal and/or Ventral Rootlet Disruption (Avulsion) by High-Resolution MRI in Neonatal Brachial Plexus Palsy (NBPP)
Kate Chang, Ann Arbor
 1.3 Exploring Tissue Viability Imaging (TiVi), Skin Temperature and Stimulated Skin Wrinkling Asymmetry as potential tools for the evaluation of Obstetric Brachial Plexus Injury (OBPI)
Carol DeMatteo, Hamilton 
 1.4 Outcome of Microsurgery for BPBI Before Versus After 6 Months of Age: Results of the Multicenter TOBI Study
Andrea Bauer, Boston
 1.5 Treatment Variation in Brachial Plexus Birth Injury Across Academic Medical Centers in North America
Andrea Bauer, Boston 
10:00 Coffee break 
10:30  OBPL general
Moderators Lynda Yang and Jörg Bahm 
  Evaluation of children with OBPL - Lynda Yang 
  OBPL: all about and beyond nerves in a surgeon´s brain - Jörg Bahm 
11:00  Scientific paper session 2 (click to open)
 2.1 Tension on peripheral nerve suture
Jörg Bahm, Aachen 
 2.2 Exploration of Fascicular Shift Procedure in OBPL
Oskar Aszmann, Vienna 
 2.3 Shoulder outcomes following primary nerve reconstruction of neonatal brachial plexus palsy: Analysis of predictors and surgical strategies
Raymond Tse, Seattle 
 2.4 Double nerve transfer for shoulder external rotation restoration in OBP
Francisco Soldado, Barcelona 
 2.5 Mid-term Outcome after Selective Neurotization of the Infraspinatus Muscle in Patients with Brachial Plexus Birth Injury
Petra Grahn, Helsinki 
 2.6 Sensibility of the Hand in Children With Conservatively or Surgically Treated Upper 
Willem Pondaag, Leiden 
 2.7 The Hand-Use-at-Home Questionnaire to assess spontaneous hand-use in children with unilateral paresis: evidence for validity and reliability
Menno van der Holst, Leiden 
 2.8 Assessing Arm Use in Children with Neonatal Brachial Plexus Palsy (NBPP)
Susan Brown, Ann Arbor 
 2.9 Outcome assessment for Brachial Plexus birth injury. Results from the iPluto world-wide consensus survey and update on PRO measures
Willem Pondaag, Leiden 
 2.10 Beyond Movement for Children and Adolescents who have required OBPI Primary Repair: Does their movement impact their occupation and quality of life?
Deborah Gjertsen, Hamilton 
12:30  Lunch break
13:30  Brachial plexus adults/nerve general 
Moderators Michael Fox and Tim Hems 
  Timing of surgery for adult brachial plexus lesions – Michael Fox 
  Future directions for traumatic brachial plexus injury: Outcomes, natural history and nerve transfers - Tim Hems
14:00  Scientific paper session 3 (click to open)
 3.1 Profile of adult traumatic brachial plexus injury in Prof. Dr. Soeharso orthopaedic hospital Surakarta, July 2013 – September 2018
Tito Sumarwoto, Sukoharjo
 3.2 Correlation of Magnetic Resonance Imaging (MRI Neurography) and Electrodiagnostic study findings with Intra-operative findings in post-Traumatic Brachial plexus palsy
Mukund Thatte, Mumbai 
 3.3 Brachial plexus injury incomplete type C5 C6 C7 treated with neurotization modified oberlin procedure in Prof. Dr. Soeharso orthopaedic hospital Surakarta
Tito Sumarwoto, Sukoharjo 
 3.4 Leiden adult traumatic brachial plexus surgery series: outcome of a 10 year cohort
Justus Groen, Leiden 
 3.5 Cervical exploration in total brachial plexus palsies: is it worth it?
Camille Echalier, Besançon 
 3.6 Coaptation of full length n.phrenicus to n.axillaris
Margarita Kateva, Sofia 
 3.7 Results of phrenic nerve transfer to the musculocutaneous nerve using video-assisted thoracoscopy in patients with traumatic brachial plexus injury: series of 28 cases
Marcio de Mendonça Cardoso, Brasilia 
 3.8 Geographical and population-based factors that can play a role in our BPI surgery results 
Mariano Socolovsky, Buenos Aires
 3.9 Brachial plexus lesions in shoulder dislocations and fractures of humeral neck in the elderly
Ulrike Schnick, Berlin 
 3.10 Brachial plexus injury as a complication of anterior shoulder dislocation is associated with long term functional deficits
Suzanne Oxley, Leeds 
 3.11 New strategy Surgery in C8T1 paralysis of the brachial plexus
Zoubir Belkayar 
15:30  Coffee break 
16:00  Brachial plexus adults / nerve general
Moderators Mariano Socolovsky and Willem Pondaag
  Grafting versus transfer - Mariano Socolovsky 
  How to improve results - Willem Pondaag 
16:30  Scientific paper session 4 (click to open)
 4.1 Transfer of pronator teres branch in C7-T1 brachial plexus injury: An electrophysiolgical and anatomic feasibility study
Bin Xu, Shanghai 
 4.2 Dorsal scapular nerve as an additional neurotizer for better elbow stability and elbow flexion in complete adult brachial plexus palsy patients 
Lukas Rasulic, Belgrade
 4.3 Medial triceps and anconeus branch transfer for axillary nerve injuries: a case series
Ana Maria Monzon, Bogota  
 4.4 Addition of pectoralis major innervation to the Wang Strategy
Anil Bhatia, Pune 
 4.5 Free neurovascular muscle transplantation – a report of more than 200 cases
Michael Becker, Aachen 
 4.6 Finding a standard – Results in brachial plexus surgery for the adults
Richarda Boettcher, Berlin 
 4.7 COMBINE -Core Outcome Measures in Brachial plexus Injuries
Caroline Miller 
 4.8 Effectiveness of rehabilitation in traumatic brachial plexus injuries: retrospective study of 102 cases assisted in a single hospital in Latin America
Andreia Gushikem, Brasilia
 4.9 Rehabilitation of Upper Extremity Nerve Injuries Using Surface EMG Biofeedback: Protocols for Clinical Application
Oskar Aszmann, Vienna
18:00  End Day 1 



Friday 17 May 2019 

07:00  Registration & Coffee 
08:00  Shoulder OBPL
Moderators Andrew Price and Tomas Hultgren 
  The shoulder in OBPL - Andrew Price 
  The rotational deformity in OBPL shoulders - Tomas Hultgren 
08:30  Scientific paper session 5 (click to open)
 5.1 Which tissues contribute to the internal rotation contracture in the BPBP shoulder?
Krister Jönsson, Stockholm
 5.2 Shoulder and Elbow Function following the Sup-ER Protocol in Children with Birth Related Brachial Plexus Injuries: A Pilot Study
Cynthia Verchere, Vancouver 
 5.3 A new surgical technique for internal shoulder contractures secondary to obstetric  brachial plexus injury: an anterior coracohumeral ligament release
Jochem Nagels, Leiden
 5.4 Minimally Invasive Subscapularis Release : A Novel Technique and Results
Maulin Shah, Ahmedabad 
 5.5 Management of shoulder internal rotation limitation in obstetrical palsy
Atakan Aydin, Istanbul 
 5.6Tendon and muscle anomalies around shoulder
Atakan Aydin, Istanbul 
 5.725-Year Experience with the Subscapularis Slide for Correction of Internal Rotation Contracture in Brachial Plexus Birth Palsy
Andrew Price, New York
 5.8 Shoulder release and tendon transfer for neonatal brachial plexus palsy: gains, losses,  and midline function
Raymond Tse, Seattle
 5.9 Gleno humeral inferior release combined with latissimus dorsi transfer to restaure shoulder abduction on brachial plexus obstetrical palsy
Mohamed Nassim Nouara, Algiers 
 5.10 Obstetrical brachial plexus injuries, a long-term prospective study on the outcome of external rotation plasties of the shoulder
Cigdem Sarac, Leiden
 5.11 Twenty-year experience of arthroscopic subscapularis release for internal rotation contractures secondary to neonatal brachial plexus injury: clinical and radiographic outcomes
Michael Pearl, Los Angeles 
 5.12 Short and long term outcomes after treatment of shoulder subluxation in birth  brachial plexus palsy
Marisa Osorio, Seattle 
10:00  Coffee break
10:30  Shoulder OBPL & adult
Moderators Andrew Price and Tomas Hultgren 
11:00  Scientific paper session 6 (click to open)
 6.1 Long-term Results of Isolated Latissimus Dorsi Transfer in Brachial Plexus Birth Palsy
Andrew Price, New York 
 6.2 Pectoralis Major Trans positioning to improve shoulder abduction in residual Obstetric Brachial Plexus Palsy children : A novel technique & early results
Maulin Shah, Ahmedabad 
 6.3 Transfer of the trapezius muscle for reanimation of external rotation of the shoudler in obstetric brachial plexus lesions
Samir Razali, Medea
 6.4 Derotation osteotomy of the humerus in patients suffering from obstetrical brachial plexus palsy – effects on kinematics of the upper extremity
Werner Girsch, Graz 
 6.5 Glenohumeral Fusion in adults with sequelae of obstetric brachial plexus palsy: A Report of 8 Cases
Zoubir Belkayar 
 6.6 Results: Medial triceps nerve transfer to axillary nerve in high energy shoulder trauma
Devanshi Jimulia, Birmingham 
 6.7 Shoulder abduction reconstruction for C5-7 avulsion brachial plexus injury by dual neurotizations: spinal accessory to suprascapular nerve and partial median or ulnar to axillary nerve
Gavrielle Kang, Singapore 
 6.8 Comparison of approach in transfer of spinal accessory nerve to the suprascapular nerve in adult patients with upper type traumatic brachial plexus injury
JaeKwang Kim, Seoul 
 6.9 Nerve Reconstruction of Suprascapular Nerve by Spinal Accessory Nerve Transfer through Posterior Route in Adult Brachial Plexus Injuries
Jie Song, Shanghai 
 6.10 The pathoanatomy of the posterior spinal accessory to suprascapular nerve transfer after traumatic brachial plexus injury
Devanshi Jimulia, Birmingham 
 6.11 External rotation in extensive partial brachial plexus injuries
Anil Bhatia, Pune 
 6.12 Lower subscapular nerve transfer for axillary nerve repair in upper brachial plexus palsy
Pavel Haninec, Prague 
 6.13 Reconstruction of the Spinal Accessory Nerve with Selective Fascicular Nerve Transfer of the Upper Trunk
Johannes Mayer, Tübingen 
12:30  Lunch Break
13:30  Hand OBPL & adult
Moderators Piero Raimondi and Alex Muset 
  Reconstruction of hand function and results in OBPL - Piero Raimondi 
  Hand function in OBPL - Alex Muset 
14:00  Scientific paper session 7 (click to open)
 7.1 Our approach in restoring hand function in C7-T1 brachial plexus palsies
ChengGang Zhang, Shanghai 
 7.2 Restoring finger flexion in C7-T1 brachial plexus injury
Zhen Dong, Shanghai 
 7.3 Nerve transfer to restore thenar muscle in low median and brachial plexus palsy palsy 
Jaoquim Casanas, Barcelona
 7.4 The Results Of Hand Secondary Procedures
Ismahene Beressa, Oran 
 7.5 Functional outcome on drop hand patient treated with jones tendon transfer (serial case report) 
Seti Aji Hadinoto, Surakarta
 7.6Forearm rotational imbalance in obpp
Jörg Bahm, Aachen 
 7.7 Restoration of Elbow Function Using End-to-Side Anastomosis between Ulnar Fascicles and Musculocutaneous Nerve in Late Incomplete Obstetrical Erb’s Palsy
Shimon Rochkind, Tel Aviv  
15:30  Coffee break 
16:00 Elbow and hand OBPL & adult
Moderators Oskar Aszmann and Hidehiko Kawabata
  The bionic hand in brachial plexus injury patients - Oskar Aszmann
  Indications for intercostal nerve transfer in OBPL - Hidehiko Kawabata 
16:30 Scientific paper session 8  (click to open)
  8.1An assessment of fatigue and co-contraction of renervated elbow flexor muscles
Matthew Wilcox, Stanmore
  8.2Why do elbow flexion nerve transfers work better than shoulder abduction transfers?
Russell Madsen, Portland 
  8.3Long head of triceps transfer to gain elbow flexion in 15 patients
Atakan Aydin, Istanbul 
  8.4Efficacy of Intercostal nerves transfers in cases of total brachial plexus paralysis
Mikhail Novikov, Yaroslavl 
  8.5Intercostal nerve transfer for patients with brachial plexus birth palsy
Paula Pino, Santiago 
  8.6Lower Trapezius Transfer for Triceps Function in Obstetric Palsy ; Review of Other Methods and Presentation of 15 Cases
Atakan Aydin, Istanbul 
  8.7Wrist extension restoration by FDS trandfer in residual OBP
Paula Pino, Barcelona 
  8.8Natural history of Elbow Flexion contracture in Obstetric Brachial Plexus Injury
Tim Hems, Glasgow 
  8.9Elbow Flexion Contractures in Brachial Plexus Birth Injury: Function and Appearance Related Factors 
Emily Ho, Toronto
  8.10Shared Decision Making in Youth with Elbow Flexion Contractures Secondary to Brachial Plexus Birth Injury
Emily Ho, Toronto 
  8.11How the rotational balance of the shoulder affects prosupination
Jörg Bahm, Aachen 
18:15 Walk from congress venue  to dinner location
19:00  Drinks in the Hooglandse Kerk
19:30  Dinner in the Hooglandse Kerk 
22:00  End of Dinner 


Saturday 18 May 2019 

07:30 Registration & Coffee 
08:30  Pain
Moderators Allan Belzberg and Martijn Malessy 
  Neuropathic pain - Allan Belzberg 
  Surgical treatment of neuropathic pain - Martijn Malessy 
09:00  Scientific paper session 9 (click to open)
 9.1 Pain Prevalence in Children with Brachial Plexus Birth Injury
Kristen Davidge, Toronto 
 9.2 The perspective of children with a brachial plexus birth injury on functioning and health, compared to the perspective of healthcare professionals: a qualitative study
Cigdem Sarac, Leiden
 9.3 The characteristics of Pain reported in children with Birth Related Plexus Injuries
Hazel Brown, Stanmore 
 9.4 Dermis cap for treatment of painful neuroma
Sarah Becker, Aachen 
09:45 Coffee break
10:15  What’s new and hot
Moderator Ming Chan and Martijn Malessy
  Electrical stimulation to promote nerve regeneration - Ming Chan 
10:30  Scientific paper session 10 (click to open)
 10.1 Magnetic Resonance Imaging for Detecting Root Avulsions in Traumatic Adult Brachial Plexus Injuries: A Systematic Review and Meta-analysis of Diagnostic Accuracy
Ryckie Wade, Leeds 
 10.2 Diffusion Tensor Imaging Tractography for Diagnosing Traumatic Brachial Plexus Root Avulsions: A Proof-of-Concept Study
Ryckie Wade, Leeds 
 10.3 Imaging possibilities of the brachial and lumbosacral plexus using advanced magnetic resonance techniques
Ivan Humhej, Usti nad Labem 
 10.4Use of Processed Human Nerve Allograft in Reconstruction of Brachial Plexus Birth Injuries
Aaron Berger, Miami 
 10.5Failed repair of a brachial plexus birth injury using processed nerve allografts 
Petra Grahn, Helsinki
 10.6 Early Results of Nerve Transfers for Restoring Function in Severe Cases of Acute Flaccid Myelitis 
Paula Pino, Santiago
 10.7 Results of 6 median to musculocutaneous nerve transfers to induce active elbow flexion in arthrogryposis type 1 with 24 months minimum follow up 
Christian Hagemann, Hamburg
 10.8 Surgical treatment for child brachial neuritis 
Shaonan Hu, Shanghai
 10.9 Current concepts in plasticity and nerve transfers: relationship between surgical techniques and outcomes 
Mariano Socolovsky, Buenos Aires
 10.10 Increased brain activation during motor imagery suggests central abnormality in Neonatal Brachial Plexus Palsy 
Galia Anguelova
 10.11 A Quantitative Analysis of the Sensory and Motor Fibres of the Major Nerves in the Human Arm
Oskar Aszmann, Vienna 
 10.12 Factors Associated with Outcomes After Nerve Transfers: A Pooled Analysis
Kevin Rezzadeh, New York 
12:30  Final Conclusions & Goodbye
Martijn Malessy 
12.40  Lunch

Abstract overview

Please click here to read the abstracts of the Narakas 2019. 

 Opening times - Preview room for presentations 
Thursday 07:30-17:30 
Saturday 07:30-10:30