Document Detail

Brachial plexus injury due to compression: an alternate mechanism of injury: case report and review of the literature.
MedLine Citation:
PMID:  9168758     Owner:  NLM     Status:  MEDLINE    
We present a case of a brachial plexus injury due to compression of the nerves from a traumatic hematoma, with no associated bone or vascular injury. The paralysis in this case was not evident for 48 hours after the initial injury, implying that the brachial plexus was not damaged directly. Electromyograms documenting brachial plexopathy were obtained. The mechanism of injury in this case is different from the usual mechanisms of injury in brachial plexus trauma. The majority of brachial plexus injuries are associated with multisystem trauma. The mechanism of injury to the brachial plexus is either from extreme traction on the nerves or direct impact. Downward traction generally results in lesions in the upper cervical nerve roots, whereas upward traction results in lesions of the lower cervical nerve roots, C8 and T1. The usual symptoms of brachial plexus injuries include paralysis of the shoulder, arm, and/or hand with parasthesias and altered sensation. Temperature and color of the limb may be altered because of damage to the autonomic nervous system. The treatment of brachial plexus injuries varies depending on the mechanism and the time the injury is discovered in relation to the inciting trauma. Current treatment includes assessing function with physical examination, preoperative electromyogram, and then repair of viable nerve roots and associated vascular injuries.
D C Desai; A Uribe; T Lachman
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  The American surgeon     Volume:  63     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1997 Jun 
Date Detail:
Created Date:  1997-06-13     Completed Date:  1997-06-13     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  487-9     Citation Subset:  IM    
Department of Surgery, Lankenau Hospital, Wynnewood, Pennsylvania 19096, USA.
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MeSH Terms
Axilla / radiography
Brachial Plexus / injuries*
Hematoma / complications*,  radiography,  surgery
Nerve Compression Syndromes / complications,  etiology*
Tomography, X-Ray Computed

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