User Tools

Site Tools


brachial_plexus_injury

Brachial plexus injury

Brachial plexus injury occurs when these nerves are stretched, compressed, or in the most serious cases, ripped apart or torn away from the spinal cord.

Etiology

Penetrating trauma.

Traction. Stretch injury.More likely to affect the posterior cord than the medial cord and median nerve.

First rib fracture.

Compression by hematoma.

Minor brachial plexus injuries, known as stingers or burners, are common in contact sports, such as football. Babies sometimes sustain brachial plexus injuries during birth. Other conditions, such as inflammation or tumors, may affect the brachial plexus.

Epidemiology

Differential diagnosis

Treatment

Treatment options that include neurolysis, nerve grafting, or neurotization (nerve transfer) has become an important procedure in the restoration of function in patients with irreparable preganglionic lesions. Restoration of elbow flexion is the primary goal in treating patients with severe brachial plexus injuries. Nerve transfers are used when spinal roots are avulsed, and proximal stumps are not available.

Nerve transfers using ulnar and/or median nerve fascicles to restore elbow flexion have been widely used following traumatic brachial plexus injury, but their utility following neonatal brachial plexus palsy remains unclear.

Outcome

Case series

brachial_plexus_injury.txt · Last modified: 2018/07/30 12:13 by administrador