Are Patients With Adult Traumatic Brachial Plexus Injuries Satisfied With Their Appearance?

Area of Science:

• Orthopedics
• Psychology
• Rehabilitation Medicine

Background:

• Adult traumatic brachial plexus injuries (tBPI) cause significant physical and emotional distress.
• Patients often experience neuropathic pain, loss of function, and difficulties with self-image and social interactions.
• Understanding the impact of tBPI on body image and appearance satisfaction is essential for comprehensive patient care.

Purpose of the Study:

• To assess body image and appearance satisfaction in adult patients with traumatic brachial plexus injuries (tBPI).
• To explore the relationship between tBPI and patients' self-perception and social comfort.
• To identify specific areas of concern related to appearance among tBPI patients.

Main Methods:

• A prospective cohort study involving 126 patients with tBPI.
• 60 patients completed a modified Satisfaction with Appearance survey assessing social discomfort, relationship interference, and limb appearance.
• Cross-sectional descriptive analysis was employed to understand patient-reported outcomes.

Main Results:

• 45% of patients reported satisfaction with overall appearance.
• The appearance of the affected hand(s) was the primary concern for patients.
• Social discomfort increased with unfamiliarity: 18% with family, 30% with friends, and 32% with strangers.
• 25% reported their injury interfered with relationships, and 27% felt their tBPI was perceived as unattractive.

Conclusions:

• A significant portion of tBPI patients experience dissatisfaction with their appearance, affecting personal relationships.
• tBPI can influence social comfort in various settings and perceptions by others.
• Healthcare teams should recognize patients' perceptions of their affected limb and its social impact, enhancing counseling strategies.