Brachial Plexus Injuries - Review of the Anatomy and the Treatment Options
- PMID: 33894122
- DOI: 10.2478/prilozi-2021-0008
Brachial Plexus Injuries - Review of the Anatomy and the Treatment Options
Abstract
Brachial plexus injuries are still challenging for every surgeon taking part in treating patients with BPI. Injuries of the brachial plexus can be divided into injuries of the upper trunk, extended upper trunk, injuries of the lower trunk and swinging hand where all of the roots are involved in this type of the injury. Brachial plexus can be divided in five anatomical sections from its roots to its terminal branches: roots, trunks, division, cords and terminal branches. Brachial plexus ends up as five terminal branches, responsible for upper limb innervation, musculocutaneous, median nerve, axillary nerve, radial and ulnar nerve. According to the findings from the preoperative investigation combined with clinically found functional deficit, the type of BPI will be confirmed and that is going to determine which surgical procedure, from variety of them (neurolysis, nerve graft, neurotization, arthrodesis, tendon transfer, free muscle transfer, bionic reconstruction) is appropriate for treating the patient.
Keywords: BPI; anatomy of brachial plexus; bionic reconstruction; brachial plexus injuries; treatment options for brachial plexus injuries.
© 2021 Sofija Pejkova et al., published by Sciendo.
References
REFERENCES
-
- 1. Johnson EO, Vekris M, Demesticha T, Soucacos PN. Neuroanatomy of the brachial plexus: normal and variant anatomy of its formation. Surg Radiol Anat. 2010 Mar; 32(3): 291–7.
-
- 2. Catala M, Kubis N. Gross anatomy and development of the peripheral nervous system. Handb Clin Neurol. 2013; 115: 29–41.
-
- 3. Sakellariou VI, Badilas NK, Mazis GA, et al. Brachial plexus injuries in adults: evaluation and diagnostic approach.–ISRN Orthop. 2014; 2014: 726103. Published 2014 Feb 9. doi:10.1155/2014/726103.
-
- 4. Pondaag W, Malessy M, van Dijk JG, Thomeer R. Natural history of obstetric brachial plexus palsy: A systematic review. Dev Med Child Neurol. 2004; 46: 138–44.
-
- 5. Andrew T, Wallace WA. Do brachial plexus injuries occur at initial impact in motor-cyclists. Br Med–J.–1978; 1(6): 1668.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical