Clinical problem-solving: brachial plexus closed injury and reconstruction.

Abstract:

OBJECTIVE:Current management of severe brachial plexus injury has undergone recent modifications, and surgical options have expanded. METHODS:The case of a man with a severe closed brachial plexus injury resulting from a motorcycle accident is presented. The patient is found to have upper root avulsions that deprive him of function in the proximal arm. RESULTS:Pre-, intra-, and postoperative decision making is reviewed by an expert in peripheral nerve surgery. Attention is paid to both diagnosis and management. A brief review of the literature pertaining to these points follows. CONCLUSION:The recent expansion of surgical options for the management of severe brachial plexus injury has introduced significant controversy into this field.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Ranalli NJ,Kline DG,McGarvey ML,Boulis NM,Zager EL

doi

10.1227/01.neu.0000333305.57060.00

subject

Has Abstract

pub_date

2008-06-01 00:00:00

pages

1330-8; discussion 1338-9

issue

6

eissn

0148-396X

issn

1524-4040

pii

00006123-200806000-00021

journal_volume

62

pub_type

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