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Review
. 2007 Apr 1;119(4):73e-92e.
doi: 10.1097/01.prs.0000254859.51903.97.

The surgical treatment of brachial plexus injuries in adults

Julia K Terzis  1 , Vasileios K Kostopoulos
Affiliations
Review

The surgical treatment of brachial plexus injuries in adults

Julia K Terzis et al. Plast Reconstr Surg. .

Abstract

After studying this article, the participant should be able to: 1. Evaluate clinically a patient with brachial plexus paralysis and define the appropriate electrophysiologic and radiographic studies. 2. Differentiate between preganglionic (root) avulsion and postganglionic lesions and identify appropriate motor donors and nerve grafts. 3. Describe various nerve reconstructive strategies and make appropriate selection of secondary procedures for shoulder stability, elbow flexion, and hand reanimation. 4. Anticipate the possible functional outcome.

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References

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    1. Harris, W., and Low, V. W. On the importance of accurate muscular analysis in lesions of the brachial plexus and the treatment of Erb’s palsy and infantile paralysis of the upper extremity by cross-union of nerve roots. B.M.J. 2: 1035, 1903.
    1. Vulpius, O., and Stoffel, A. Orthopadische Operationslehre, 2nd Ed. Stuttgart: Enke, 1920.
    1. Seddon, H. J. The use of autogenous grafts for the repair of large gaps in peripheral nerves. Br. J. Surg. 35: 151, 1947.
    1. Yeoman, P. M., and Seddon, H. J. Brachial plexus injuries: Treatment of the flail arm. J. Bone Joint Surg. (Br.) 43: 493, 1961.

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