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Brachial plexus injury in multitraumatized patients

C van der Werken1, L S de Vries

  • 1Department of Surgery, University Hospital, Utrecht, The Netherlands.

Clinical Neurology and Neurosurgery
|January 1, 1993
PubMed
Summary

Brachial plexus traction injuries often occur with multisystem trauma. Associated axillary artery occlusion rarely causes upper limb ischemia but may be repaired during plexus surgery.

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Area of Science:

  • Orthopedic Surgery
  • Trauma Surgery
  • Vascular Surgery

Background:

  • Brachial plexus traction injuries frequently accompany multisystem trauma.
  • Associated injuries, such as axillary artery occlusion, can complicate patient management.
  • The clinical significance and management of these associated vascular lesions require careful consideration.

Purpose of the Study:

  • To discuss the consequences of brachial plexus traction injuries in the context of multisystem trauma.
  • To highlight axillary artery occlusion as a rare but significant associated lesion.
  • To explore the optimal timing and approach for repairing axillary artery occlusion in conjunction with brachial plexus reconstruction.

Main Methods:

  • Review of clinical cases and outcomes associated with brachial plexus traction injuries and multisystem trauma.
  • Analysis of the incidence and impact of axillary artery occlusion in this patient population.
  • Discussion of surgical strategies for combined brachial plexus and axillary artery repair.

Main Results:

  • Multisystem trauma is common in patients with brachial plexus traction injuries.
  • Axillary artery occlusion is an infrequent complication but can lead to upper limb ischemia.
  • Surgical repair of axillary artery occlusion may be advantageously combined with elective brachial plexus reconstructive surgery.

Conclusions:

  • Patients with brachial plexus traction injuries often present with complex multisystem trauma.
  • While rare, axillary artery occlusion necessitates careful evaluation and management.
  • Concurrent repair of axillary artery occlusion during brachial plexus surgery offers a potentially beneficial approach.

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