Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Indications for peripheral nerve and brachial plexus surgery.

A Dubuisson1, D G Kline

  • 1Department of Neurosurgery, Louisiana State University Medical Center, Charity Hospital, New Orleans.

Neurologic Clinics
|November 1, 1992
PubMed
Summary

Peripheral nerve injury management varies by cause. Prompt repair is vital for sharp cuts, while blunt injuries may need delayed repair. Continuous injuries require monitoring, with surgery if deficits persist.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

In Reply: Thoracic Outlet Syndrome Part I: Systematic Review of the Literature and Consensus on Anatomy, Diagnosis, and Classification of Thoracic Outlet Syndrome, and Thoracic Outlet Syndrome Part II: Consensus on the Management of Thoracic Outlet Syndrome by the European Association of Neurosurgical Societies' Section of Peripheral Nerve Surgery.

Neurosurgery·2024
Same author

[Epidural lipomatosis : management proposal].

Revue medicale de Liege·2021
Same author

[Which complementary examination does replace a bad clinical examination ? A good clinical examination ! A mood ticket...]

Revue medicale de Liege·2021
Same author

Refractory neuropathic pain from a median nerve injury: spinal cord or peripheral nerve stimulation? A case report.

Acta neurologica Belgica·2019
Same author

[Paralysing lumbar disc herniation: a surgical emergency? Reflexion about a series of 24 patients and literature data].

Neuro-Chirurgie·2012
Same author

[Bilateral peroneal neuropathy following bariatric surgery].

Neuro-Chirurgie·2012

Area of Science:

  • Neurology
  • Neurosurgery
  • Orthopedics

Background:

  • Peripheral nerve injuries present diverse clinical scenarios.
  • Effective management requires understanding injury mechanisms and nerve continuity.
  • Brachial plexus and obstetric brachial plexus palsy have unique treatment considerations.

Purpose of the Study:

  • To outline a structured approach to managing peripheral nerve injuries.
  • To differentiate treatment strategies based on injury type (transection, blunt, closed, injection, electrical, missile).
  • To highlight the role of electrodiagnostic testing and surgical intervention.

Main Methods:

  • Categorization of peripheral nerve injuries by mechanism.
  • Clinical and electrodiagnostic (nerve action potential - NAP) assessment.

Related Experiment Videos

  • Timelines for observation and surgical intervention based on injury type.

    • Main Results:

    • Sharply transected nerves require acute repair.
    • Blunt injuries necessitate secondary repair after initial tacking.
    • Closed injuries and missile wounds are managed conservatively initially, with surgery guided by NAP testing if deficits persist.
    • Injection and electrical injuries require individualized treatment.
    • Pain unresponsive to treatment may indicate surgical repair.
    • Brachial plexus injuries require separate analysis of each component.
    • Obstetric brachial plexus palsy benefits from prolonged conservative management.

    Conclusions:

    • A tailored, mechanism-specific approach optimizes peripheral nerve injury outcomes.
    • Nerve action potential testing is crucial for guiding surgical decisions in injuries with potential continuity.
    • Conservative management followed by selective surgical intervention is key for specific injuries like obstetric brachial plexus palsy.