Brachial plexus injury with upper trunk mainly involving

Authors

  • I. B. Tretyak Romodanov Neurosurgery Institute, Kiev, Ukraine

DOI:

https://doi.org/10.25305/unj.108641

Keywords:

brachial plexus, trauma, surgical treatment, electromyography

Abstract

145 cases of brachial plexus upper trunk injury were analyzed with upper trunk mainly involving. Avulsion of С5, С6 spinal nerves was observed at 44 (30.3%) patients, upper trunk structures rupture — at 40 (27.6%) and axonotmesis — at 61 (42.1%). For surgical treatment neurolisis and nerve grafts were used and in case of C5–C6 spinal nerves avulsion — different variants of nerves transferring were done. Positive results were obtained at 87.6% patients with upper trunk of brachial plexus injury. In case of C5–C6 spinal nerves avulsion Oberlin and Gousheh methods of nervous function renewing were most effective.

References

Григорович К.А. Хирургическое лечение повреждений нервов. — Л.: Медицина, Ленингр. отд-ние, 1981. — 302 с.

Gousheh J. Surgical technique for the treatment of C5 and C6 root avulsion // Acta Neurochir. — 2007. — V.100. — P.13–14.

Moghekar A.R.,MoghekarAR, Karli N., Chaudhry V. Brachial plexopathies: etiology, frequency, and electrodiagnostic localization // J. Clin. Neuromuscul. Dis. — 2007. — V.9, N1. — P.243–247.

Oberlin C., Beal D., Leechavengvongs S. et al. Nerve transfer to biceps muscle using a part of ulnar nerve for C5–C6 avulsion of the brachial plexus: anatomical study and report of four cases // J. Hand Surg. Am. — 1994. — V.19. — P.232–237.

Published

2009-06-13

How to Cite

Tretyak, I. B. (2009). Brachial plexus injury with upper trunk mainly involving. Ukrainian Neurosurgical Journal, (2), 72–74. https://doi.org/10.25305/unj.108641

Issue

Section

Original articles