Summary box 1 Neonatal brachial plexus palsy (NBPP) can be defined as a flaccid paresis of an upper extremity due to traumatic stretching of the brachial plexus, with the passive…
Summary box 1 Establish all the terms and conditions of proposed expert witness work before agreeing to take on the case. 2 An expert witness should be an advocate only…
Summary box 1 Neonatal brachial plexus palsy (NBPP) is identified in the immediate neonatal period and is due to trauma to the fetal brachial plexus at some point prior to…
Summary box 1 Worldwide prevalence of brachial plexus/peripheral nerve injuries continues to increase as the rates of motor vehicle collisions and “extreme sporting” accidents increase. 2 Brachial plexus injuries can…
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….
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…
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…
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…
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…
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…
