Good afternoon @adalwolfa, Welcome ..... to Connect. You have met a couple of great Connect members in @mlross4508, and @jenniferhunter. I may have a reference of some value in a brachial plexus surgeon and diagnostician in Houston, Texas. http://www.drnathbrachialplexus.com/ . A family member fell off her bicycle and injured her shoulder. She was seen at Mayo in 2005 where the diagnosis was excellent but the surgery options were not available at that time. She was referred to Dr. Nath in Houston. He was at the top of the heap when it comes to surgical procedures to "fix" a brachial plexus injury. The surgery went well and she was off to Europe to enter some bike runs. He has written books and has videos. I have photos of her shoulder before the surgery....pretty shocking. This may not pan out for you but may be worth comparing to other options. Knowledge is power. Be safe and free of suffering. Chris