Management of Brachial Plexus Injury in Adults | Zendy

Panupan Songcharoen | Zendy

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Management of Brachial Plexus Injury in Adults

Author(s) -

Panupan Songcharoen

Publication year - 2008

Publication title -

scandinavian journal of surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.774

H-Index - 50

eISSN - 1799-7267

pISSN - 1457-4969

DOI - 10.1177/145749690809700408

Subject(s) - medicine , brachial plexus , brachial plexus injury , reinnervation , surgery , musculocutaneous nerve , forearm , nerve repair , nerve injury , upper trunk , elbow , epineurial repair , anesthesia , anatomy , peripheral nerve

Brachial plexus injury in adults is commonly caused by motorcycle accidents. Surgical management consists of nerve repair and nerve grafting for extraforaminal nerve root or trunk injury, and of neurotization or nerve transfer for nerve roots avulsion. In general, the results regarding restoration of shoulder and elbow function are good but reinnervation of the forearm muscles is less than safisfactory in respect to restoration of hand function. Functioning free muscle transfer in combination with selective nerve transfer is a reasonable alternative surgical procedure.

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