Muscle Nerve –, BRACHIAL PLEXOPATHIES: CLASSIFICATION,. CAUSES, AND CONSEQUENCES. MARK A. FERRANTE. Brachial plexopathies: classification, causes, and consequences. (English) . Cervical rib and median sternotomy-related brachial plexopathies: a reassessment. Items 1 – 20 Brachial Plexopathies, Classification, Causes and Consequences (Muscle and Nerve, ) – Download as PDF File .pdf), Text File .txt) or read.

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Lehman, MD Comments are off. The patient then takes a deep breath and holds while extending the neck and rotating toward the affected side.

Brachial plexopathies: classification, causes, and consequences.

classificatlon Postganglionic injuries typically carry a better prognosis because they often demonstrate greater spontaneous recovery and are more amenable to surgical repair. Further research is needed to assist in determining prognosis before 2 months and establishing the most effective timing for surgical intervention.

While these agents are more commonly associated with length-dependent peripheral polyneuropathies, when used in conjunction with radiation therapy or other pleopathies therapy, they may increase the risk of brachial plexus injury.

Retrieved from ” https: Return to work RTW: Cervical rib and median sternotomy-related brachial plexopathies: The best chance of improvement is in the first 3 months after injury and the next best time window is within the next 3 months. Neonatal brachial plexopathy may be associated with glenohumeral joint dysplasia, joint contractures shoulder, elbow, supinationposterior shoulder dislocation, or length discrepancies.

Of note, these authors found that motor function and plexopayhies status did not correlate with employment. The patient is asked to open and close their hands repeatedly for 3 minutes. Males are approximately two times more commonly plexopathids than females There was also a significant correlation between the change in NRS scores and patient satisfaction.


Although the standard of care in managing traumatic brachial plexopathies is to delay nerve grafts for 3 to 6 months while monitoring for recovery, there is emerging evidence to suggest that delaying beyond 2 months might result in poor outcomes.

Lower roots C8-T1 are the plexopatgies susceptible to avulsion. Wiktionary 0 entries edit.

Evoked potentials are not necessary in the diagnosis of brachial plexopathy however they may be helpful in ruling out a classidication central process. Based on whether the injury is proximal or distal to the dorsal root ganglion DRGthey are further characterized as preganglionic and postganglionic, respectively. Of the 24 who were employed prior to injury, 13 returned to work cauxes 8 within the first year of injury.

Article Search Search for: However, nerve grafts performed at earlier time points may result in unnecessary surgery in individuals who would consequnces demonstrate some degree of spontaneous recovery. LAC, median thumbmedian second digit Posterior cord: Most stated that their brachial plexus injury had little or no role in their relationships. The presence of brachial plexus injury in polytrauma is of poor prognostic significance.

Brachial Plexopathy: Differential Diagnosis and Treatment – PM&R KnowledgeNow

Suprascapular C Lateral cord: Classically presents with severe upper arm pain, followed by multifocal paresis usually in a different territory as the painpossible sensory abnormalities, and gradual atrophy of muscles innervated by the affected plexus. Such abnormal spontaneous activity represents spontaneous depolarization of a muscle fiber in the setting of any kind of denervation.


LAC, median thumb Middle trunk: Other sites 0 entries edit. The test is positive when there is a decrease or disappearance of the radial pulse.

Brachial plexopathies: classification, causes, and consequences. – Wikidata

Usefulness of myelography in brachial plexus injuries. Views Read View history. In one functional outcomes study, the rate of hemidiaphragm paralysis or elevation March 7,1: MR myelography using heavily T2-weighted fast spin-echo pulse sequences with fat presaturation.

No equipment or strengthening has been proven to decrease the risk of brachial plexus injury. It is important to differentiate root avulsion from brachial plexus injury for treatment and prognostication as complete root avulsions are incapable of regeneration and are not amenable to surgical repair.

A recent publication about patient reported outcomes of health related quality of life after neonatal brachial plexus suggests that physical limitations, followed by social health, and to a lesser degree, emotional health remain significant long-term issues in these patients.

Patel, MD Comments are off. Wikisource 0 entries edit. Counseling regarding etiology, treatment options, prognosis for recovery, and prevention of secondary complications is a critical component of the overall plan of care. There are no required laboratory analyses in the work-up of brachial plexopathy however basic laboratory assessments may be plexkpathies in ruling out alternative causes of weakness or in looking classificatkon triggers of NA.

Long thoracic C and dorsal scapular C5 Trunks: