Chaput & Probe 2003 Updated 2011
The history of the surgical treatment of lesions of the brachial plexus is not long. However, the field is rapidly developing. Significant progress has been made since surgeons such as Hanno Millesi and Algimantas Narakas began using nerve grafting for supraclavicular injuries in the 1960s....
In 1764, Smellie described bilateral arm paralysis in a newborn. In 1872, Duchenne de Boulogne coined the term obstetrical paralysis. In 1874, Erb described the upper C5-C6 paralysis, and in 1885, Klumpke described paralysis of the lower plexus. In modern times, Gilbert has popularized surgical reconstruction of obstetrical brachial plexus...
Novak, Mackinnon & Baratz 2005 Updated 2011
Paul of Aegina (625-690) was the first to describe approximation of the nerve ends with wound closure. Hueter (1871, 1873) introduced the concept of primary epineurial nerve suture, and Nelaton described secondary nerve repair in 1864. Even at an early time, the idea of...
Traumatic injury mostly occurs in severe road traffic accidents (especially on a motorcycle) and falls from heights. Young men are most commonly affected. The position of the arm (as the injury occurs) will determine the levels involved. If the arm was held at the side, a C8-T1 injury is usual....
Mononeuropathies can occur secondary to direct trauma, compression, stretch injury, ischemia, infection, or inflammatory disease. Dancers are also prone to superficial and deep peroneal nerve entrapments.
Nerve entrapments are due to compression of the nerve by either normal structures or an external source.
In the lower extremity, peroneal neuropathy is the...
Video Webinar to take place on Wed, 27 April 2011 6:00pm PDT. May be reviewed later.
David J Slutsky
Nerve Transfers for Radial Nerve Injuries
Innervated Muscle Transfers
Scott H Kozin
The prognosis of Backpack Palsy (BPP) is favorable in the vast majority of cases. Electromyography is useful for diagnosis. To prevent brachial plexus lesions, backpack loads greater than 40 kg should be avoided.
Recovery of brachial plexus lesions resulting from heavy backpack use: A follow-up case series
Tuula Nylund , Ville M...
1. Describe the natural history of newborns with birth brachial plexus palsy
2. Discuss the factors increasing the incidence of birth brachial plexus palsy
3. Discuss the current indications for microsurgery for the infant with brachial plexus palsy
4. Describe operative...
The nerves which give sensation and control to the upper limb are all connected through the brachial plexus. Most brachial plexus injuries result in severe dysfunction of the arm and hand. In spite of advances in diagnosis and treatment, recovery in the majority of cases is still disappointing. The often...
Radiology case 319-492 Clinical presentation:
20 year old man with previous history of a motor cycle accident.
There is a bulge on the right side of the opacified theca at the level of the emerging 7th cervical nerve root.
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