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Related Concept Videos

Spinal Nerves: Plexus I01:22

Spinal Nerves: Plexus I

Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...

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Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction
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Surface Electromyographic Biofeedback as a Rehabilitation Tool for Patients with Global Brachial Plexus Injury Receiving Bionic Reconstruction

Published on: September 28, 2019

Results and current approach for Brachial Plexus reconstruction.

Jayme A Bertelli1, Marcos F Ghizoni

  • 1Center of Biological and Health Sciences, University of Southern Santa Catarina (Unisul), Tubarão, SC, Brazil. bertelli@matrix.com.br.

Journal of Brachial Plexus and Peripheral Nerve Injury
|June 17, 2011
PubMed
Summary

Supraclavicular brachial plexus injuries in adults can be treated with nerve grafts and transfers. Root grafting significantly improves elbow flexion restoration and pain reduction in total palsy cases.

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Area of Science:

  • Neurosurgery
  • Orthopedic Surgery

Background:

  • Supraclavlavicular brachial plexus injuries present complex challenges in adult patients.
  • Treatment outcomes vary significantly based on injury pattern and intervention.

Purpose of the Study:

  • To review surgical outcomes for 335 adult patients with supraclavicular brachial plexus injuries.
  • To evaluate the efficacy of nerve grafts, nerve transfers, and tendon/muscle transfers in restoring function and alleviating pain.

Main Methods:

  • Retrospective review of 335 adult patients treated over 7 years.
  • Classification of injuries into 8 groups based on functional deficits and roots injured.
  • Surgical interventions included nerve grafts, nerve transfers, and tendon/muscle transfers.

Main Results:

  • Considerable functional return was observed in patients with partial upper- or lower-type injuries.
  • In total palsies, 90% of patients achieved elbow flexion restoration with root grafting, compared to 50% with nerve transfers alone.
  • Root exploration and grafting effectively reduced or eliminated pain complaints post-surgery.

Conclusions:

  • Nerve grafting is a crucial intervention for restoring function, particularly elbow flexion, in severe brachial plexus injuries.
  • Prioritizing pain resolution through root exploration and grafting is essential for patient recovery.
  • Surgical strategies should be tailored to specific injury patterns for optimal functional outcomes.