Brachial
Brachial Plexus Injury
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Brachial Plexus Injury
Epidemiology
Uncommon injury
Often requires serious
Trauma
(Motorcycle accidents)
Signs
Arm completely paralyzed and
Anesthetic
Horner's Syndrome
implies poor prognosis
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
Meningocele
s or dye pockets
Indicates nerve roots avulsed from cord
Suggests complete, non-reparable and poor prognosis
Consider amputation above elbow 1 year after injury
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