... incision, as the soft tissue is elastic and might be spread easily by a self-retaining distractor When an extended infraclavicular approach is necessary, a vertical delto-pectoral incision may be added ... neurotisation by the distal branch of the spinal accessory nerve, as we need a counterbalance to the medial rotators, as rotational dysbalance at the shoulder level with increasing glenohumeral dysplasia ... Journal of Brachial Plexus and Peripheral Nerve Injury 2007 , 2:1 http://www.JBPPNI.com/content/2/1/1 Figure same case, drawing of the brachial plexus lesion same case, drawing of the brachial plexus...