Adult traumatic brachial plexus injuries.

Alexander Y. Shin, Robert J. Spinner, Scott P. Steinmann, Allen T. Bishop

Research output: Contribution to journalReview article

149 Scopus citations

Abstract

Adult traumatic brachial plexus injuries are devastating, and they are occurring with increasing frequency. Patient evaluation consists of a focused assessment of upper extremity sensory and motor function, radiologic studies, and, most important, preoperative and intraoperative electrodiagnostic studies. The critical concepts in surgical treatment are patient selection as well as the timing and prioritizing of restoration of function. Surgical techniques include neurolysis, nerve grafting, neurotization, and free muscle transfer. Results are variable, but increased knowledge of nerve injury and repair, as well as advances in microsurgical techniques, allow not only restoration of elbow flexion and shoulder abduction but also of useful prehension of the hand in some patients.

Original languageEnglish (US)
Pages (from-to)382-396
Number of pages15
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Volume13
Issue number6
DOIs
StatePublished - Oct 2005

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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