NERVE GRAFTING IN BRACHIAL PLEXUS INJURIES

Nerve grafting in brachial plexus injuries. Results of free grafts in 90 patients.

We have assessed the efficacy of free nerve grafts in 90 cases of brachial plexus injury. Relatively good recovery of the elbow flexor and extensor muscles and of those of the shoulder girdle was found but recovery of the flexors and extensors of the forearm and of the intrinsic muscles of the hand was extremely poor. Poor results were found when spinal nerve roots seemed normal to the touch an...

Nerve transfers in children with traumatic partial brachial plexus injuries.

Brachial plexus trauma is a rare condition in children except for obstetrical lesions, for which nerve grafting is generally proposed. Two children (9 and 12 years old) with C5 and C6 traumatic brachial plexus avulsion lesions are presented, where elbow flexion and shoulder abduction and external rotation were the functions to be restored. Nerve transfers have been performed. Shoulder abduction...

Brachial plexus injuries.

Injuries to the brachial plexus are common and are the most severe of all lesions of peripheral nerves, but the last 25 years have seen considerable advances in treatment. Much of this improvement followed the restatement of surgical principles regarding the treatment of wounds, and the application of methods of diagnosis and techniques of nerve repair which had been established much earlier. I...

Infraclavicular Brachial Plexus Injuries.

Controversies in brachial plexus injuries

This presentation will summarize some of the controversies I found treating these devastating injuries. The brachial plexus injuries are amongst the most challenging cases that a hand surgeon can face in his career. The normal variations of the brachial plexus anatomy, the complexity of the injured poli-trauma patients and the current standard algorithms of treatment can be questioned in light ...