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The diagnosis of brachial plexus lesion: anatomical knowledge as an essential tool in poorly imaging facilities conditions
Author(s) -
Gashegu Julien Kagabo
Publication year - 2008
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.22.1_supplement.975.3
Subject(s) - brachial plexus , medicine , lesion , forearm , paralysis , upper trunk , anatomy , physical examination , trunk , palsy , surgery , pathology , ecology , alternative medicine , biology
The diagnosis of the lesion of brachial plexus is a challenge in country where imaging facilities are not well developed. Here we present 3 cases of different lesions of the brachial plexus after a road traffic accident. The first case presents a lesion of the 3 primary trunks of the right brachial plexus. The clinical examination showed paralysis of all terminal nerves of the brachial plexus and the collateral branches of both anterior and posterior brachial plexus. The second patient showed paralysis of all muscles of the shoulder and muscles of the anterior compartment of the arm. This clinical feature is in accordance of the upper brachial trunk lesion. The third patient showed a paralysis of muscles of the hand being innerved by median nerve or ulna nerve. He showed also paralysis of muscles of the anterior compartment of the forearm and anaesthesia of the medial region of hand and forearm. This clinical feature is in accordance with a lesion of inferior primary trunk. All diagnosis were made by analysis of the clinical features. The anatomical knowledge is very important in the clinical examination as one can confuse the signs of terminal nerves lesion with the trunk's lesion.