Outcomes after triceps branch to axillary nerve transfer assessed with dynamometer; a case series of 15 patients

ISRCTN ISRCTN69032529
DOI https://doi.org/10.1186/ISRCTN69032529
Secondary identifying numbers 23/17428
Submission date
16/05/2025
Registration date
04/06/2025
Last edited
04/06/2025
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Nerve transfer with the triceps branch from the radial nerve to the axillary nerve is a widely used treatment method for isolated axillary nerve injury and has been used at Oslo University Hospital since 2011. The study aims to evaluate the clinical outcomes on a follow-up examination.

Who can participate?
All patients treated with this method for isolated axillary injury between 2011 to 2023.

What does the study involve?
The study involves clinical examination by an orthopaedic surgeon and a physiotherapist, with measurements of the movement in the shoulder, and the strength in the shoulder and elbow on both sides. The patients are also asked to fill out a questionnaire (Quick DASH).

What are the possible benefits and risks of participating?
The benefits of participation are mainly to provide information and increase knowledge about the procedure, and it does not involve any risks.

Where is the study run from?
Oslo University Hospital, Orthopaedic Department

When is the study starting and how long is it expected to run for?
March 2023 to October 2023

Who is funding the study?
Oslo University Hospital

Who is the main contact?
Hrønn Olafsdottir, orthopaedic surgeon, Unit for hand and microsurgery, hroola@ous-hf.no

Contact information

Mrs Hrønn Olafsdottir
Public, Scientific

Oslo University Hospital, Sognsvannsveien 20
Oslo
0372
Norway

Phone +4723070000
Email hroola@ous-hf.no
Dr Rasmus Dehli Thorkildsen
Principal Investigator

Oslo University Hospital, Sognsvannsveien 20
Oslo
0372
Norway

Phone +4723070000
Email rthorkil@ous-hf.no

Study information

Study designSingle-centre retrospective case series
Primary study designObservational
Secondary study designCase series
Study setting(s)Hospital, Medical and other records
Study typeTreatment
Participant information sheet Not available in web format, please use contact details to request a participant information sheet
Scientific titleOutcomes after triceps branch to axillary nerve transfer assessed with dynamometer; a case series of 15 patients
Study acronymOTANT
Study objectivesTo evaluate the clinical results in an Oslo University Hospital unit after treating isolated axillary nerve injury with a transfer of a triceps branch of the radial nerve to the axillary nerve.
Ethics approval(s)

Approved 21/08/2023, Data Protection Officer, Oslo University Hospital (Postboks 4956 Nydalen, Oslo, 0424, Norway; +4723070000; personvern@oslo-universitetssykehus.no), ref: 23/17428

Health condition(s) or problem(s) studiedNerve transfer with triceps branch of radial nerve to the axillary nerve for isolated axillary nerve injury.
InterventionPatients are identified via the hospital's record system, with patients treated between 2011 and 2023. They are invited to follow up for clinical examination with measurement of range of motion in the shoulder and strength with a dynamometer, and according to the British Medical Research Council (BMRC) scale. Donor morbidity will be evaluated with strength measurements in the same manner. Measurements will be compared to preoperative measurements. Special tests for deltoid dysfunction will be used on follow-up examination.
Intervention typeProcedure/Surgery
Primary outcome measureStrength in the deltoid muscle was measured using a dynamometer, and according to the the British Medical Research Council (BMRC) scale at follow-up
Secondary outcome measures1. Range of motion in the shoulder measured using a goniometer pre- and postoperatively
2. Strength in the triceps muscle measured using a dynamometer and according to the British Medical Research Council (BMRC) scale at follow-up
3. Deltoid function measured using the Bertelli test, swallow tail test and deltoid extension lag test at follow-up
4. Patient-reported outcomes measured using QuickDASH questionnaire on follow-up
Overall study start date01/03/2023
Completion date01/10/2023

Eligibility

Participant type(s)Patient
Age groupMixed
Lower age limit17 Years
Upper age limit78 Years
SexBoth
Target number of participants16
Total final enrolment15
Key inclusion criteriaAll adult patients, treated with nerve transfer with triceps branch from radial nerve to axillary nerve, for isolated axillary nerve injury, from 2011-2023 in our unit, who accept participation with written consent.
Key exclusion criteria1. Children < 17 years
2. Non-acceptance of an invitation for follow-up
Date of first enrolment01/09/2023
Date of final enrolment01/10/2023

Locations

Countries of recruitment

  • Norway

Study participating centre

Oslo University Hospital
Sognsvannsveien 20
Oslo
0372
Norway

Sponsor information

Oslo University Hospital
Hospital/treatment centre

Postboks 4956 Nydalen
Oslo
0424
Norway

Phone +4723070000
Email post@oslo-universitetssykehus.no
Website http://www.oslo-universitetssykehus.no/om-oss/english
ROR logo "ROR" https://ror.org/00j9c2840

Funders

Funder type

Hospital/treatment centre

Oslo universitetssykehus HF
Government organisation / Other non-profit organizations
Alternative name(s)
Oslo University Hospital, Oslo universitetssykehus, OUS
Location
Norway

Results and Publications

Intention to publish date26/10/2023
Individual participant data (IPD) Intention to shareYes
IPD sharing plan summaryPublished as a supplement to the results publication
Publication and dissemination planThe results are planned to be presented at national and international conferences and in an international journal.
IPD sharing planThe datasets generated and/or analysed during the current study will be published as a supplement to the results publication.

Editorial Notes

04/06/2025: Study's existence confirmed by the Data Protection Officer, Oslo University Hospital.