scholarly journals Treatment Options for Brachial Plexus Injuries

2014 ◽  
Vol 2014 ◽  
pp. 1-10 ◽  
Author(s):  
Vasileios I. Sakellariou ◽  
Nikolaos K. Badilas ◽  
Nikolaos A. Stavropoulos ◽  
George Mazis ◽  
Helias K. Kotoulas ◽  
...  

The incidence of brachial plexus injuries is rapidly growing due to the increasing number of high-speed motor-vehicle accidents. These are devastating injuries leading to significant functional impairment of the patients. The purpose of this review paper is to present the available options for conservative and operative treatment and discuss the correct timing of intervention. Reported outcomes of current management and future prospects are also analysed.

2002 ◽  
Vol 97 (1) ◽  
pp. 118-122 ◽  
Author(s):  
Ganesh Rao ◽  
Adam S. Arthur ◽  
Ronald I. Apfelbaum

✓ Fractures of the craniocervical junction are common in victims of high-speed motor vehicle accidents; indeed, injury to this area is often fatal. The authors present the unusual case of a young woman who sustained a circumferential fracture of the craniocervical junction. Despite significant trauma to this area, she suffered remarkably minor neurological impairment and made an excellent recovery. Her injuries, treatment, and outcome, as well as a review of the literature with regard to injuries at the craniocervical junction, are discussed.


2005 ◽  
Vol 23 (1) ◽  
pp. 83-86 ◽  
Author(s):  
Roland Ladurner ◽  
Lars M. Qvick ◽  
Felix Hohenbleicher ◽  
Klaus K. Hallfeldt ◽  
Wolf Mutschler ◽  
...  

Author(s):  
Kurosh Darvish ◽  
Mehdi Shafieian ◽  
Vasily Romanov ◽  
Vittorio Rotella ◽  
Michael D. Salvatore ◽  
...  

A high speed impact system was developed to study the stability of stent grafts in thoracic porcine models in vitro. The experiments were guided by a finite element model of the test setup to identify the conditions that increase the risk of instability of the stent graft. The models showed that at anterior inclination of 45° and average deceleration of 40 G, which represented a frontal crash, the stent graft can move up to 1 mm. The results of this study may be helpful in developing future grafts to withstand shocks experienced in motor vehicle accidents.


2010 ◽  
Vol 5 (6) ◽  
pp. 573-577 ◽  
Author(s):  
Michael J. Dorsi ◽  
Wesley Hsu ◽  
Allan J. Belzberg

Object The aim of this study was to estimate the prevalence of brachial plexus injury (BPI) in pediatric multitrauma patients. Methods The National Pediatric Trauma Registry was queried using the ICD-9 code 953.4, injury to brachial plexus, to identify cases of BPI. The patient demographics, mechanism of trauma, and associated ICD-9 diagnoses were analyzed. Results Brachial plexus injuries were identified in 113 (0.1%) of the 103,434 injured children entered in the registry between April 1, 1985, and March 31, 2002. Sixty-nine patients (61%) were male. Injuries were most often caused by motor vehicle accidents involving passengers (36 cases [32%]) or pedestrians (19 cases [17%]). Head injuries were diagnosed in 47% of children and included concussion in 27%, intracranial bleeds in 21%, and skull fractures in 14%. Upper-extremity vascular injury occurred in 16%. The most common musculoskeletal injuries were fractures of the humerus (16%), ribs (16%), clavicle (13%), and scapula (11%). Spinal fractures occurred in 12% of patients, and spinal cord injury occurred in 4%. The Injury Severity Score ranged from 1 to 75, with a mean score of 10, and 6 patients (5%) died as a result of injuries sustained during a traumatic event. Conclusions Brachial plexus injuries occur in 0.1% of pediatric multitrauma patients. Motor vehicle accidents and pedestrians struck by a motor vehicle are the most common reasons for BPIs in this population. Common associated injuries include head injuries, upper-extremity vascular injuries, and fractures of the spine, humerus, ribs, scapula, and clavicle.


2008 ◽  
Author(s):  
Yoshiharu Kim ◽  
Yutaka Matsuoka ◽  
Ulrich Schnyder ◽  
Sara Freedman ◽  
Robert Ursano

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