Brachial Plexus Injury

Johnson, Steven F.; Johnson, Steven B.; Strodel, William E.; Barker, Donald E.; Kearney, Paul A.

doi:10.1097/00005373-199111000-00016

Cited by 76 publications

(5 citation statements)

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“…Male and young age predominance was also found by Johnson et al [9] and Dieng et al [10]. This predominance can be attributed to the higher level of activity or mobility of the male subject in general, which exposes him to various traumas.…”

Section: Discussionsupporting

confidence: 55%

“…Direct associated vascular and nervous damage, during trauma to the axillary region, is frequent. Johnson et al [9] and Degiannis et al [14] respectively found in their series an association of axillary, subclavicular and brachial plexus lesions in 32.2% of patients and an association of axillary artery and brachial plexus lesions in 34.37% of patients. However, isolated vascular damage during axillary trauma is not so rare.…”

Section: Discussionmentioning

confidence: 85%

“…Indeed McCready et al [19] in a study on subclavian and axillary vascular trauma, found an improvement in neurological dysfunction in 6 patients, i.e., 50% of patients who underwent neurological repair after nerve section. On the other hand, Johnson et al [9] found no improvement in neurological status during a mean follow-up of 7.2 months. Our relatively good neurological results are due to the fact that most of the lesions were caused by stabbing, resulting in clean-edged wounds that were relatively easy to repair surgically.…”

Section: Discussionmentioning

confidence: 92%

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Axillary Vessels and Brachial Plexus Traumas in Abidjan: Lesional Aspects and Surgical Difficulties

Kirioua-Kamenan,

Lucien Asseke,

Degré

et al. 2023

WJCS

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Introduction-Objectives: Through the presentation of epidemiological, anatomo-clinical and surgical aspects, we report our experience in the management of traumatic axillary lesions. Materials and Methods: A descriptive retrospective study was based on the medical records of patients who suffered vascular axillary and/or brachial plexus trauma and who underwent surgical repair at the Abidjan Cardiology Institute from January 2008 to June 2022. Epidemiological, anatomo-clinical and surgical data were studied. Results: Thirty-four medical files belonging to 33 men and one woman, aged 32 on average, were collected. The circumstances of occurrence were dominated by the stab wound (n = 22). The combinations of injuries were as follows: associated involvement of the axillary artery and vein (n = 4); isolated involvement of axillary artery (n = 3); isolated involvement of the axillary vein (n = 2); associated involvement of the axillary artery and brachial plexus (n = 17); associated involvement of the axillary artery and vein and brachial plexus (n = 08). Anatomic lesions included acute arterial lesions (n = 29) and arteriovenous fistula (n = 1) and false aneurysms (n = 4). All patients were operated on under general anesthesia; vascular repair included direct suturing (n = 16), arterial and venous bypass using a long saphenous graft (n = 9), prosthetic arterial bypass (n = 5) and prosthetic flattening-graft (n = 4). Brachial plexus surgery consisted of an end-to-end anastomosis of each transected bundle in all cases (n = 25). The medium-term postoperative course was marked by success without functional sequelae in 88.24% of cases (n = 30

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 85%

Section: Discussionmentioning

confidence: 92%

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Axillary Vessels and Brachial Plexus Traumas in Abidjan: Lesional Aspects and Surgical Difficulties

Kirioua-Kamenan,

Lucien Asseke,

Degré

et al. 2023

WJCS

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“…Studies about the patterns and origins of the axillary artery branches and their correlation are important for 5 BioMed Research International clinicians [4][5][6]. Patients with severe trauma to the shoulder and upper chest should be clinically assessed for vascular damage and musculoskeletal evaluation [12][13][14][15][16][17]. In addition, it will be helpful to recognize and understand such a variation, even in radiographic procedures, to increase the accuracy of the technique and to reduce unnecessary complications [26,27].…”

Section: Discussionmentioning

confidence: 99%

“…In addition, injuries of the brachial plexus are quite common and require exploration and repair. The axillary artery variation is a concern during these procedures [12][13][14]. For better clinical procedures, detailed knowledge of anatomical relationships of the axillary artery and distribution of its branches is crucial [15][16][17][18].…”

Section: Introductionmentioning

confidence: 99%

Topography and Anatomical Variations of the Axillary Artery

Yang

Lee

Choi

et al. 2021

BioMed Research International

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Knowledge of anatomical variations of the limb’s main arteries is significant for the clinicians. Thus, this study is aimed at examining the branching pattern and anatomical variations of the axillary artery. We conducted research on 59 upper limbs of adult human donated cadavers. All axillary artery branches’ origins were assessed, and the correlations between points of origins and variations of specific branches were evaluated. The average length of the axillary artery was found to be 11.22 cm, and this length was defined as reference line. Based on this reference line, the first, second, and third parts were 37.56%, 39%, and 30.05%, respectively. The STA was originated from 25.11%. The TAA and LTA were 42.67% and 54.82%, respectively. The SSA, ACHA, and PCHA were 64.72%, 83.89%, and 84.53%, respectively. The origin of LTA was correlated with that of SSA ( R = 0.473 , P < 0.05 ) and AHCA ( R = 0.307 , P < 0.05 ), respectively. And there was a positive correlation between AHCA and PHCA ( R = 0.705 , P < 0.05 ). The number of branches ranged from 3~6, and 9 types were shown. The most frequent branching pattern was common origin of the LTA and SSA (22/59). And AHCA and PHCA were originated together in 19 cases, and both patterns were combined in 12 cases. TTA and LTA branched together in 9 cases, and common trunk for the SSA, PHCA, and AHCA was found in 2 cases. According to this pattern, the origin of LTA and PCHA was significantly different. This information is particularly useful for surgeons and clinicians.

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Blunt injury to the supra-aortic arteries

Prêtre¹,

Chilcott²,

Murith³

et al. 1997

Br. J. Surg.

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After the aortic isthmus, the innominate is the most commonly injured artery in the chest. Whatever the site of an arterial lesion, however, angiography is the diagnostic test of choice. Some vascular lesions are relatively benign and may be managed without operation; this form of management may also be appropriate if there is severe associated neurological injury. Otherwise, operation using an approach and technique suited to the site of the injury is advocated.

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Brachial Plexus Injury

Cited by 76 publications

References 0 publications

Axillary Vessels and Brachial Plexus Traumas in Abidjan: Lesional Aspects and Surgical Difficulties

Axillary Vessels and Brachial Plexus Traumas in Abidjan: Lesional Aspects and Surgical Difficulties

Topography and Anatomical Variations of the Axillary Artery

Blunt injury to the supra-aortic arteries

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