Surgical procedures for recovery of hand function
Summary box 1 The priorities for reconstruction in the hand are: (l) wrist extension and finger flexion; and (2) recovery of sensation below the elbow in the C 6,7 dermatomes….
Clinical examination and diagnosis
Summary box 1 A brachial plexus injury can be defined by four elements, which are analogous to the four dimensions of space: breadth (number of roots involved), length (level), depth…
Reconstructive strategies for recovery of hand function
Summary box 1 The incidence of NBPP has remained relatively stable despite awareness of the problem and improved obstetric techniques. 2 Forearm and hand problems are seen with involvement of…
Reconstructive procedures for the upper extremity
Summary box 1 Multidisciplinary approach 2 Reconstructive approach needs to be individualized 3 Thorough discussion with patients is important for realistic expectation and discussions of the risk–benefit ratio 4 Early…
Outcomes of treatment for adult brachial plexus injuries
Summary box 1 Clean, sharp lacerations of the brachial plexus should be repaired within 72 hours. Blunt transections are best repaired in a delayed fashion. 2 Progressive neurologic deficits may…
Nerve repair/nerve transfer strategies for adult brachial plexus palsies
Summary box 1 The principles applicable to management of various patterns of stretch injuries provide a logical approach to most brachial plexus palsies. 2 Appropriate injury patterns should be recognized…
Thoracic outlet syndrome
Summary box 1 Thoracic outlet syndrome (TOS) is a term that includes several specific diagnoses, including 2 common forms of the syndrome: vascular (arterial and venous) and neurogenic TOS. 2…
Practical application of electrodiagnostic studies to evaluate adult brachial plexus lesions
Summary box Electrodiagnostic studies 1 … are an extension of the clinical examination. 2 … are dynamic. 3 … can diagnose a brachial plexus injury. 4 … identify the location…
Rehabilitation concepts for adult brachial plexus injuries
Summary box 1 Tailor each patient’s rehabilitation program to be as unique as each injury. 2 Distinguish between pre and post-ganglionic injury because there is little chance of spontaneous recovery…
Radiographic assessment of adult brachial plexus injuries
Summary box 1 Detection of nerve root avulsion injuries is critical for planning surgical treatment of patients with brachial plexus palsies. 2 Traumatic pseudomeningoceles are no longer regarded as the…
