Adult Upper Trunk Brachial Plexus Injury

Jared M. Pisapia, Zarina S. Ali, Gregory G. Heuer and Eric L. Zager

in Peripheral Nerve Surgery

Published on behalf of Oxford University Press

Published in print October 2018 | ISBN: 9780190617127
Published online October 2018 | e-ISBN: 9780190617158 | DOI:

Series: Neurosurgery by Example

Adult Upper Trunk Brachial Plexus Injury

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This chapter takes a case-based approach to the diagnosis and management of adult brachial plexus injury involving the upper trunk. The clinical presentation and differential diagnosis associated with this injury pattern are reviewed, as well as the findings of electrodiagnostic and imaging studies. Preoperative considerations include the timing from initial injury and the difference between pre- and postganglionic injury. Options for nerve reconstruction include nerve grafting, nerve transfer, or a combination of both. The options are compared, and a detailed description of each surgical procedure is provided, along with related complications, alternative repair strategies, and outcomes.

Chapter.  4809 words.  Illustrated.

Subjects: Neurosurgery

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