Complete Brachial Plexus Injury - An Amputation Dilemma. A Case Report
Cyl Choong1, A Shalimar1, S Jamari1
1Department of Orthopaedics & Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.
Malaysian Orthopaedic Journal
|June 15, 2017
Summary
Brachial plexus injuries can cause debilitating neuropathic pain and dislocations. This case study explores transhumeral amputation as a viable treatment option for patients with a non-functional limb, suggesting earlier intervention may be beneficial.
Area of Science:
- Orthopedic Surgery
- Neurology
- Rehabilitation Medicine
Background:
- Brachial plexus injuries often result in a flail limb, characterized by neuropathic pain and recurrent dislocations.
- The management of such injuries presents a surgical dilemma, balancing patient expectations with functional outcomes.
- Complete brachial plexus injury can lead to a non-functional limb, significantly impacting a patient's quality of life.
Related Concept Videos
Spinal Nerves: Plexus I
3.2K
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...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
3.2K
Peripheral Artery Disease V: Postoperative Nursing Management
480
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
480
Burn Injuries
4.8K
Burn injuries occur when the skin and underlying tissues are damaged due to exposure to heat, electricity, chemicals, radiation, or friction. They can vary in severity, from minor superficial burns to severe deep burns that can be life-threatening.
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
The damage results in the death of skin cells, which can lead to a massive loss of fluid. Dehydration, electrolyte imbalance, and renal and circulatory failure follow, which can be fatal. Burn patients are treated with intravenous fluids to offset...
4.8K
Arteries of the Upper Limbs
2.7K
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
2.7K


