A Global Approach to Upper Extremity Paralysis: The Role of Surgery in Limb Reanimation

Elkwood, Andrew I.; Schneider, Lisa; Yu, Deborah; Abdollahi, Hamid

doi:10.1007/978-3-319-41406-5_16

Cited by 1 publication

(1 citation statement)

References 34 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Brachial plexus surgery outcomes depend on the nature and severity of the injury, timing of surgery, and the surgeon’s experience with brachial plexus injuries. Approximately 60% to 70% of appropriately selected patients have improved functional outcomes after surgical treatment of brachial plexus injuries [ 16 - 20 ].…”

Section: Discussionmentioning

confidence: 99%

Subclavian-Brachial Bypass for Chronic Limb Threatening Ischemia Associated with an Old Motorcycle Accident

Martínez-Quesada

Anaya‐Ayala

Teran-Ellis

et al. 2022

Vasc Specialist Int

View full text Add to dashboard Cite

Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Computed tomography angiography revealed occlusion of the right subclavian artery near a surgically implanted reduction plate. The patient underwent an open subclavian-brachial bypass with a reversed saphenous vein graft. His postoperative recovery was uneventful. After 3 months, he had a euthermic right hand with a palpable pulse and his ulcers had completely healed. This case reinforces the need for patients with a neurological deficit in the upper extremity caused by blunt trauma to undergo thorough vascular examination to identify potential arterial injury and compromised perfusion.

show abstract