TY - JOUR
T1 - Differences in management and treatment of traumatic adult pan brachial plexus injuries
T2 - a global perspective regarding continental variations
AU - Shin, Alexander Y.
AU - Socolovsky, Mariano
AU - Desai, Ketan
AU - Fox, Michael
AU - Wang, Shufeng
AU - Spinner, Robert J.
N1 - Publisher Copyright:
© The Author(s) 2021.
PY - 2022/1
Y1 - 2022/1
N2 - An expert opinion study was designed to query five countries and six brachial plexus surgeons regarding the demographics, mechanisms of injury, evaluation, timing of surgery, reconstructive strategies and controversies in adult traumatic pan brachial plexus injuries. Variations in assessing outcomes, management of neuropathic pain and future considerations were elucidated. Clear differences in regional demographics, mechanisms of injury, patient evaluation and treatment strategies were identified. The role of phrenic nerve and contralateral C7 transfer, acute use of free functioning muscle transfers, root reimplantation and amputation/myoelectric prosthetic fitting were regional/surgeon dependent. Comparison of outcomes across regions requires an understanding of the regional nuances of patient demographics, injury mechanisms, preferred reconstructive strategies and how outcomes are measured. Future studies are required to allow accurate regional comparisons.
AB - An expert opinion study was designed to query five countries and six brachial plexus surgeons regarding the demographics, mechanisms of injury, evaluation, timing of surgery, reconstructive strategies and controversies in adult traumatic pan brachial plexus injuries. Variations in assessing outcomes, management of neuropathic pain and future considerations were elucidated. Clear differences in regional demographics, mechanisms of injury, patient evaluation and treatment strategies were identified. The role of phrenic nerve and contralateral C7 transfer, acute use of free functioning muscle transfers, root reimplantation and amputation/myoelectric prosthetic fitting were regional/surgeon dependent. Comparison of outcomes across regions requires an understanding of the regional nuances of patient demographics, injury mechanisms, preferred reconstructive strategies and how outcomes are measured. Future studies are required to allow accurate regional comparisons.
KW - Brachial plexus injury
KW - adult traumatic pan brachial plexus injury
KW - global perspectives
KW - outcomes
KW - surgical methods
KW - treatment strategies
UR - http://www.scopus.com/inward/record.url?scp=85113147388&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85113147388&partnerID=8YFLogxK
U2 - 10.1177/17531934211039677
DO - 10.1177/17531934211039677
M3 - Review article
C2 - 34407694
AN - SCOPUS:85113147388
SN - 1753-1934
VL - 47
SP - 40
EP - 51
JO - Journal of Hand Surgery: European Volume
JF - Journal of Hand Surgery: European Volume
IS - 1
ER -