The Retrospective Review Of Brachial Plexus Injury

Purpose of review: Adult traumatic brachial plexus injuries are devastating injuries that has difficulty in diagnosis and treatment. The purpose of this current opinion article is to detail the recent advances in the evaluation and management of these patients that have led to improved outcomes. To followe about the patients of brachial plexus injury and to study the diagnosis and treatment and timing of the operation on the brachial plexus injury.Recent findings: Improved diagnostic modalities along with advances in surgical techniques have allowed reliable restoration of shoulder stability and elbow flexion. Use of novel extraplexal donor nerves in addition to free functioning gracilis muscle transfers now give hope for the restoration of hand function.Object: The authors focus on 36 operative brachial plexus injuries managed between 1997 ~ 2004 at our department.Methods: Data regarding these mechanisms of injury were obtained via rethospective chart reviews of patients who had undergone operation.Five main mechainsim of injury to the brachial plexus occurred in the series, included 23 traffic accident injury, 5 sharp lacerations, 5 mechine stretch/contusion injury, 2 trip injury, 1 tumor removed, with 8 open wound. 18 nerve roots injury ( 50% ) , 7 nerve trunk injury, 7...