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Spinal Nerves: Plexus I

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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Updated: Oct 20, 2025

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

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[CLINICAL CASE OF ENDOSCOPIC BRACHIAL PLEXUS DECOMPRESSION IN A PATIENT WITH ROTATOR CUFF RUPTURE AND POST TRAUMATIC

E Belyak¹, F Lazko¹, A Prizov¹

¹1Peoples' Friendship University of Russia, Moscow; 2Moscow City Clinical Hospital after V.M. Buyanov, Moscow, Russia.

Georgian Medical News

|September 13, 2021

Summary

This summary is machine-generated.

A new endoscopic technique offers a less invasive surgical option for posttraumatic brachial plexopathy, effectively reducing pain and improving arm function. This minimally invasive approach provides an alternative to traditional open surgery for brachial plexus decompression.

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Area of Science:

Orthopedic Surgery
Neurology
Minimally Invasive Procedures

Background:

Posttraumatic brachial plexopathy, often linked to shoulder trauma and intra-articular issues, presents a significant clinical challenge.
Conventional open brachial plexus decompression, while effective, is associated with trauma, complications, and recurrence, necessitating less invasive alternatives.

Observation:

A novel, fully endoscopic technique for brachial plexus decompression was developed and applied to a 60-year-old male patient.
The patient presented with posttraumatic plexopathy, a rotator cuff tear, severe neuropathic shoulder pain (VAS 9), and neurological deficits in the upper extremity.

Findings:

The endoscopic procedure was performed with detailed step-by-step surgical technique documentation.
Six months post-surgery, the patient reported a significant reduction in pain severity to VAS 2.
The patient experienced regression of neurological problems and improved hand strength.

Implications:

The developed endoscopic technique demonstrates potential as a low-traumatic and effective alternative to open brachial plexus decompression.
This minimally invasive method effectively alleviates pain and facilitates early functional recovery of the arm.
The technique can be readily combined with treatments for concurrent intra-articular pathologies, such as rotator cuff repair.