Adult Traumatic Brachial Plexus Injuries

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

Research output: Contribution to journalArticle

3 Scopus citations

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

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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