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R. Shane Tubbs, Marios Loukas, Mohammadali M. Shoja, Mohammad R. Ardalan, Nihal Apaydin, Candice Myers, Ghaffar Shokouhi and W. Jerry Oakes

S tandard anatomical texts state that the brachial plexus is contributed to by C5–T1 spinal nerves, 4 but recent studies have identified contributions from outside of this “normal” range. For example, Loukas et al. 8 found that 100% of their 150 cadaveric specimens had communications between T-2 and the brachial plexus. These connections were identified either intra- or extrathoracically and occurred in non-postfixed specimens (that is, a brachial plexus that is primarily composed of C6–T2 ventral rami). It is also known that the brachial plexus may have

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R. Shane Tubbs, Marios Loukas, Mohammadali M. Shoja, Ghaffar Shokouhi, John C. Wellons III, W. Jerry Oakes and Aaron A. Cohen-Gadol

T o our knowledge, the LTN has not been previously explored as a donor nerve for contralateral neurotization of the brachial plexus ( Fig. 1 ). With our recent findings of more than adequate length for using the ipsilateral LTN in neurotization to the ipsilateral facial nerve, we undertook the present study to evaluate the feasibility of using the LTN for contralateral neurotization to the musculocutaneous and suprascapular nerves in cadavers. F ig . 1. Artist's rendition of neurotization of the suprascapular and musculocutaneous nerves utilizing