II. Epidemiology
- Uncommon injury
- Often requires serious Trauma (Motorcycle accidents)
III. Signs
- Arm completely paralyzed and Anesthetic
- Horner's Syndrome implies poor prognosis
IV. Management
- Conservative Management for 3 weeks
- Maintain Shoulder and arm range of motion
- Myelography and Electromyography evaluation
- Normal Electromyogram (EMG)
- Consider early surgery
- Microscopic neurolysis and nerve repair
- Traction Meningoceles or dye pockets
- Indicates nerve roots avulsed from cord
- Suggests complete, non-reparable and poor prognosis
- Consider amputation above elbow 1 year after injury
- Normal Electromyogram (EMG)
