Diagnosis and management of adult BPI: Results of first 50 cases

Abstract

Introduction: Commonest cause of brachial plexus injury in adults is traction injury sustained in motorcycle accidents. This article reports the results of first 50 cases done in a tertiary referral center with a brief review of literature. Material and methods: First 50 patients (46 male; 4 female, age from 12 to 45 years) with post traumatic brachial plexus palsy were included. There were 30 upper plexus and 20 pan plexus injuries, 27 had preganglionic and 23 postganglionic injury. Neurolysis was done in 19 patients and various combination of nerve transfer in 31. Mean follow-up period was 13.98 months.Results: e Over all shoulder abduction was good in 10 patients, fair in 32 and poor in 8. Elbow flexion was good in 19 patients, fair in 18 and poor in 13 patients. Conclusion:The upper plexus and partial injuries have a good outcome in a majority of cases, while the results in global palsy are far from satisfactory.

Optimal Donor Nerve to Restore Elbow Flexion After Traumatic Brachial Plexus Injury: A Systematic Review and Meta-Analysis

“…Thus, 61 articles remained for qualitative and quantitative analyses. 12–74 Using the NIH Study Quality Assessment tool, we graded 11 of 61 articles as “good,” 43 of 61 as “fair,” and 7 of 61 as “poor” ( Table , Supplemental Digital Content 2 , http://links.lww.com/NEU/A912).…”

Double Fascicular Nerve Transfer Restored Nearly Normal Functional Movements in a Completely Paralyzed Upper Extremity Resulting from an ACDF Surgery: A Case Report and Review of Recent Literature

“…Addressing nerve root injuries in the context of severe cervical spinal cord injuries resulting in complete paralysis of the extremities has been challenging. Distal-targeted nerve transfers have been successfully performed as a preferred alternative to the site of a proximal injury [14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] since the regeneration distance will be much shorter and, therefore, the recovery will be faster. Additionally, in cases of iatrogenic surgical injuries at the proximal cervical spinal level (ACDF), as in the present case report, the distal operative area will have no scarring from previous surgeries, allowing for technical precision in reconstructive efforts.…”

“…Neurolysis can provide excellent to good outcomes, as shown recently in 82% of the 73 Serratus anterior palsy patients [ 30 ]. Neurolysis during nerve transfer surgery remains the best treatment for spinal root avulsion injuries [ 25 ].…”

The efficacy of electroacupuncture for cervical nerve edema and movement disorder caused by the brachial plexus injury: a case report

“…However, some patients are afraid of the side effects of CT myelography (such as radiation, bleeding, infection, low-pressure headaches, allergies, etc. ), and therefore refuse this examination ( 8 ). Magnetic resonance imaging (MRI) is more expensive and takes a longer time to perform the examination, and the patient is needed to keep calm in order to obtain clear imaging.…”