Adult Traumatic Brachial Plexus Injuries

Shelley S. Noland, Allen T. Bishop, Robert J. Spinner, Alexander Y. Shin

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Adult traumatic brachial plexus injuries are devastating life-altering injuries occurring with increasing frequency. Evaluation includes a detailed physical examination and radiologic and electrodiagnostic studies. Critical concepts in surgical management include knowledge of injury patterns, timing of surgery, prioritization in restoration of function, and management of patient expectations. Options for treatment include neurolysis, nerve grafting, or nerve transfers and should be generally performed within 6 months of injury. The use of free functioning muscle transfers can improve function both in the acute and late setting. Modern patient-specific management can often permit consistent restoration of elbow flexion and shoulder stability with the potential of prehension of the hand. Understanding the basic concepts of management of this injury is essential for all orthopaedic surgeons who treat trauma patients.

Original languageEnglish (US)
Pages (from-to)705-716
Number of pages12
JournalThe Journal of the American Academy of Orthopaedic Surgeons
Volume27
Issue number19
DOIs
StatePublished - Oct 1 2019

Fingerprint

Arm Injuries
Brachial Plexus
Wounds and Injuries
Nerve Transfer
Knowledge Management
Elbow
Physical Examination
Hand
Muscles

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Adult Traumatic Brachial Plexus Injuries. / Noland, Shelley S.; Bishop, Allen T.; Spinner, Robert J.; Shin, Alexander Y.

In: The Journal of the American Academy of Orthopaedic Surgeons, Vol. 27, No. 19, 01.10.2019, p. 705-716.

Research output: Contribution to journalArticle

@article{5c625b49b7df40228b3adbef43f33b6f,
title = "Adult Traumatic Brachial Plexus Injuries",
abstract = "Adult traumatic brachial plexus injuries are devastating life-altering injuries occurring with increasing frequency. Evaluation includes a detailed physical examination and radiologic and electrodiagnostic studies. Critical concepts in surgical management include knowledge of injury patterns, timing of surgery, prioritization in restoration of function, and management of patient expectations. Options for treatment include neurolysis, nerve grafting, or nerve transfers and should be generally performed within 6 months of injury. The use of free functioning muscle transfers can improve function both in the acute and late setting. Modern patient-specific management can often permit consistent restoration of elbow flexion and shoulder stability with the potential of prehension of the hand. Understanding the basic concepts of management of this injury is essential for all orthopaedic surgeons who treat trauma patients.",
author = "Noland, {Shelley S.} and Bishop, {Allen T.} and Spinner, {Robert J.} and Shin, {Alexander Y.}",
year = "2019",
month = "10",
day = "1",
doi = "10.5435/JAAOS-D-18-00433",
language = "English (US)",
volume = "27",
pages = "705--716",
journal = "Journal of the American Academy of Orthopaedic Surgeons",
issn = "1067-151X",
publisher = "American Association of Orthopaedic Surgeons",
number = "19",

}

TY - JOUR

T1 - Adult Traumatic Brachial Plexus Injuries

AU - Noland, Shelley S.

AU - Bishop, Allen T.

AU - Spinner, Robert J.

AU - Shin, Alexander Y.

PY - 2019/10/1

Y1 - 2019/10/1

N2 - Adult traumatic brachial plexus injuries are devastating life-altering injuries occurring with increasing frequency. Evaluation includes a detailed physical examination and radiologic and electrodiagnostic studies. Critical concepts in surgical management include knowledge of injury patterns, timing of surgery, prioritization in restoration of function, and management of patient expectations. Options for treatment include neurolysis, nerve grafting, or nerve transfers and should be generally performed within 6 months of injury. The use of free functioning muscle transfers can improve function both in the acute and late setting. Modern patient-specific management can often permit consistent restoration of elbow flexion and shoulder stability with the potential of prehension of the hand. Understanding the basic concepts of management of this injury is essential for all orthopaedic surgeons who treat trauma patients.

AB - Adult traumatic brachial plexus injuries are devastating life-altering injuries occurring with increasing frequency. Evaluation includes a detailed physical examination and radiologic and electrodiagnostic studies. Critical concepts in surgical management include knowledge of injury patterns, timing of surgery, prioritization in restoration of function, and management of patient expectations. Options for treatment include neurolysis, nerve grafting, or nerve transfers and should be generally performed within 6 months of injury. The use of free functioning muscle transfers can improve function both in the acute and late setting. Modern patient-specific management can often permit consistent restoration of elbow flexion and shoulder stability with the potential of prehension of the hand. Understanding the basic concepts of management of this injury is essential for all orthopaedic surgeons who treat trauma patients.

UR - http://www.scopus.com/inward/record.url?scp=85072747486&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85072747486&partnerID=8YFLogxK

U2 - 10.5435/JAAOS-D-18-00433

DO - 10.5435/JAAOS-D-18-00433

M3 - Article

C2 - 30707114

AN - SCOPUS:85072747486

VL - 27

SP - 705

EP - 716

JO - Journal of the American Academy of Orthopaedic Surgeons

JF - Journal of the American Academy of Orthopaedic Surgeons

SN - 1067-151X

IS - 19

ER -