Current Trends in the Management of the Brachial Plexus Injuries

Background Data: BPIcomprise about one third of all peripheral nerve injuries and seen in just more than 1% of patients presenting to a trauma facility. They may range from weakness or paralysis of the shoulder and/or elbow to complete paralysis and loss of feeling in the entire upper limb. Over the...

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Autores principales:	Mohamed ElSabaie, Nader Elsayed, Ali Abou-Madawi, Galhom E.
Formato:	article
Lenguaje:	EN
Publicado:	Egyptian Spine Association 2013
Materias:	Brachial plexus injury nerve injury gunshot wound nerve graft nerve transfer Neurology. Diseases of the nervous system RC346-429
Acceso en línea:	https://doaj.org/article/e30f69575ee24d6a89021b12f525dbd1
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spelling	oai:doaj.org-article:e30f69575ee24d6a89021b12f525dbd12021-12-02T06:44:54ZCurrent Trends in the Management of the Brachial Plexus InjuriesDOI:10.21608/ESJ.2013.38422314-89502314-8969https://doaj.org/article/e30f69575ee24d6a89021b12f525dbd12013-10-01T00:00:00Zhttp://www.esj.journals.ekb.eg/article_3842.htmlhttps://doaj.org/toc/2314-8950https://doaj.org/toc/2314-8969Background Data: BPIcomprise about one third of all peripheral nerve injuries and seen in just more than 1% of patients presenting to a trauma facility. They may range from weakness or paralysis of the shoulder and/or elbow to complete paralysis and loss of feeling in the entire upper limb. Over the last two decades, refinements in microsurgical techniques, and significant advances in the concepts of peripheral nerve repair and reconstruction have greatly expanded treatment options for these otherwise devastating injuries. Traction of the shoulder or arm, often with lateral flexion of the neck in the opposite direction, Penetrating trauma to the neck or the shoulder, and Birth-related paralysis are the most common causes of the BPI. They divided into supraclavicular and infraclavicular lesions. MRI of the brachial plexus and cervical spine, and myelography with CT, are the key of the final differentiation of the exact pathology. The surgical intervention may be indicated if there is little evidence of progressive spontaneous recovery of motor and sensory function by three months following injury, but no longer than 6 months. However, early surgical exploration is frequently indicated in penetrating or open injuries. Purpose: The aim of the work is to update our knowledge about the current measures and the new techniques of management of the brachial plexus injuries Study Design: Review article Material and Methods: This study was done via the electronic searching on the clinical trials, systemic midline reviews through the PubMed clinical queries, WHO, Cochrane Collaboration and Evidence Based Medicine since 2008 till 2013. Results: Analysis of the reviewed studies showed that recovery is very promising to the BPI patients that were faced the loss of hope of recovery in the previous years. Conclusion: By applying the triad of recent imaging measures, proper management guidelines and excellent rehabilitation programs, the patient will gain the maximum functional outcome. While complete recovery is often difficult to obtain, an acceptable level of restored function is possible, and patients need to be made fully aware of realistic therapeutic goals. (2013ESJ54)Mohamed ElSabaie Nader Elsayed Ali Abou-MadawiGalhom E.Egyptian Spine AssociationarticleBrachial plexus injurynerve injurygunshot woundnerve graftnerve transferNeurology. Diseases of the nervous systemRC346-429ENEgyptian Spine Journal, Vol 8, Iss 1, Pp 4-12 (2013)
institution	DOAJ
collection	DOAJ
language	EN
topic	Brachial plexus injury nerve injury gunshot wound nerve graft nerve transfer Neurology. Diseases of the nervous system RC346-429
spellingShingle	Brachial plexus injury nerve injury gunshot wound nerve graft nerve transfer Neurology. Diseases of the nervous system RC346-429 Mohamed ElSabaie Nader Elsayed Ali Abou-Madawi Galhom E. Current Trends in the Management of the Brachial Plexus Injuries
description	Background Data: BPIcomprise about one third of all peripheral nerve injuries and seen in just more than 1% of patients presenting to a trauma facility. They may range from weakness or paralysis of the shoulder and/or elbow to complete paralysis and loss of feeling in the entire upper limb. Over the last two decades, refinements in microsurgical techniques, and significant advances in the concepts of peripheral nerve repair and reconstruction have greatly expanded treatment options for these otherwise devastating injuries. Traction of the shoulder or arm, often with lateral flexion of the neck in the opposite direction, Penetrating trauma to the neck or the shoulder, and Birth-related paralysis are the most common causes of the BPI. They divided into supraclavicular and infraclavicular lesions. MRI of the brachial plexus and cervical spine, and myelography with CT, are the key of the final differentiation of the exact pathology. The surgical intervention may be indicated if there is little evidence of progressive spontaneous recovery of motor and sensory function by three months following injury, but no longer than 6 months. However, early surgical exploration is frequently indicated in penetrating or open injuries. Purpose: The aim of the work is to update our knowledge about the current measures and the new techniques of management of the brachial plexus injuries Study Design: Review article Material and Methods: This study was done via the electronic searching on the clinical trials, systemic midline reviews through the PubMed clinical queries, WHO, Cochrane Collaboration and Evidence Based Medicine since 2008 till 2013. Results: Analysis of the reviewed studies showed that recovery is very promising to the BPI patients that were faced the loss of hope of recovery in the previous years. Conclusion: By applying the triad of recent imaging measures, proper management guidelines and excellent rehabilitation programs, the patient will gain the maximum functional outcome. While complete recovery is often difficult to obtain, an acceptable level of restored function is possible, and patients need to be made fully aware of realistic therapeutic goals. (2013ESJ54)
format	article
author	Mohamed ElSabaie Nader Elsayed Ali Abou-Madawi Galhom E.
author_facet	Mohamed ElSabaie Nader Elsayed Ali Abou-Madawi Galhom E.
author_sort	Mohamed ElSabaie
title	Current Trends in the Management of the Brachial Plexus Injuries
title_short	Current Trends in the Management of the Brachial Plexus Injuries
title_full	Current Trends in the Management of the Brachial Plexus Injuries
title_fullStr	Current Trends in the Management of the Brachial Plexus Injuries
title_full_unstemmed	Current Trends in the Management of the Brachial Plexus Injuries
title_sort	current trends in the management of the brachial plexus injuries
publisher	Egyptian Spine Association
publishDate	2013
url	https://doaj.org/article/e30f69575ee24d6a89021b12f525dbd1
work_keys_str_mv	AT mohamedelsabaie currenttrendsinthemanagementofthebrachialplexusinjuries AT naderelsayed currenttrendsinthemanagementofthebrachialplexusinjuries AT aliaboumadawi currenttrendsinthemanagementofthebrachialplexusinjuries AT galhome currenttrendsinthemanagementofthebrachialplexusinjuries
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Current Trends in the Management of the Brachial Plexus Injuries

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