Stabilization of the shoulder joint with restoration of its function constitutes one of the major objectives in the treatment of patients with upper brachial plexus injuries. Suprascapular and axillary nerves form the primary targets in achieving this goal. Currently, transfer of the distal SAN into SSN performed through an anterior approach is a standard procedure…
Brachial plexus injuries are devastating injuries resulting usually from high velocity motor bike accidents. Some of these lesions show spontaneous recovery, mostly within a month of injury. However, majority of high speed injuries require microsurgical reconstruction. Penetrating trauma, iatrogenic injuries, and missile injuries are other less common causes of brachial plexus injury.For the purpose of…
Introduction Obstetrical brachial plexus palsy is a traction neural injury sustained during the course of the birth process. The incidence of obstetric brachial plexus palsy (OBPP) ranges globally from 0.5 to 2 per 1000 births with the higher numbers in under developed countries. Perinatal risk factors include large birth weight infants with macrosomia, multiparous pregnancies,…
The surgical management of gunshot injuries to the brachial plexus differs considerably from the commonly encountered high-speed traction injuries. Timing of Repair Patients with missile injuries to the brachial plexus are generally observed for 3 months. These injuries are best treated as delayed repair if there is little or no recovery. Surgical procedures Neurolysis –…
These patients are routinely checked by X-rays of the cervical spine, shoulder, humerus and chest. An increased incidence of skeletal injury is observed in blunt trauma with concomitant stretch injury of the brachial plexus. Fracture of transverse process of cervical vertebra indicates injury close to the cord level and may be associated with root injury.…
