Diagnostic accuracy of imaging studies for diagnosing root avulsions in post-traumatic upper brachial plexus traction injuries in adults

Bordalo-Rodrigues, Marcelo; Siqueira, Mário G.; Kurimori, Ceci Obara; Carneiro, Ana Carolina R.; Martins, Roberto S.; Foroni, Luciano; Oliveira, Adilson José Manuel de; Solla, Davi Jorge Fontoura

doi:10.1007/s00701-020-04465-9

Cited by 7 publications

(4 citation statements)

References 26 publications

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“…A similar report evaluating magnetic stimulation is needed to compare these methods and to determine whether the combination of both methods is better than either alone. While some imaging methods in human medicine could diagnose nerve root avulsions in TBPI, such as computed tomography myelography and diffusion tensor imaging, 19 , 20 to date, no similar reports exist in veterinary medicine.…”

Section: Discussionmentioning

confidence: 99%

Epidemiological, clinical, and electrophysiological findings in dogs and cats with traumatic brachial plexus injury: A retrospective study of 226 cases

Troupel

Caenegem

Jeandel

et al. 2021

Veterinary Internal Medicne

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Background The imaging and electrodiagnostic (EDX) characteristics of traumatic brachial plexus injury (TBPI) are incompletely reported. Objectives To describe the epidemiological, clinical, and EDX characteristics of TBPIs in a series of cases in dogs and cats; to determine the association between clinical data, EDX findings, and clinical outcomes; and to assess the sensitivity and specificity of EDX studies to classify nerve lesions. Animals One hundred and seventy‐five dogs and 51 cats with TBPI and EDX exploration of radial nerve, ulnar nerve, or both nerves. Methods Retrospective case series. All medical records were searched for dogs and cats presenting with TBPIs that underwent EDX exploration. Epidemiological, clinical, EDX, and follow‐up data were extracted. Association between clinical data, EDX findings, and clinical outcomes was explored. Results Forty‐six percent of affected animals were injured before 2 years of age and 57% of dogs weighed more than 20 kg. The radial compound muscle action potential (CMAP) amplitude for dogs and cats that had clinical improvement was higher than in animals without improvement (4.3 mV [0‐23.6] vs 0 mV [0‐2.4], respectively, P = .02). A discriminating radial CMAP amplitude threshold value of 5 mV had a specificity of 93% (95% CI [80‐100]) to predict recovery. Conclusions and Clinical Importance Electrodiagnostic studies, particularly measurement of radial CMAP amplitude, are valuable diagnostic tests to refine the prognosis of these animals.

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Section: Discussionmentioning

confidence: 99%

Epidemiological, clinical, and electrophysiological findings in dogs and cats with traumatic brachial plexus injury: A retrospective study of 226 cases

Troupel

Caenegem

Jeandel

et al. 2021

Veterinary Internal Medicne

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“…Cohen suggested the Kappa result should be interpreted as follows: values ≤ 0 indicate no agreement and 0.01-0.20 as none to slight, 0.21-0.40 as fair, 0.41-0.60 as moderate, 0.61-0.80 as substantial, and 0.81-1.00 as almost perfect agreement. κ has been widely used in healthcare research (McHugh, 2012;Tsang et al, 2020;Bordalo-Rodrigues et al, 2020).…”

Section: Methodsmentioning

confidence: 99%

On the Agreement between Patients’ Perceptions and Expectations about the Quality of Hospital Services

A’aqoulah¹,

Saris²,

Da’ar³

2021

GJHS

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Minimizing the gap and ensuring agreement between patients’ perceptions and expectations is an indication of a better quality of hospital services. This study aimed to examine the agreement between patients’ perceptions and expectations of the quality of hospital services. A cross-sectional design was adopted, and quantitative methods were employed for data collection. The SERVAQUAL tool was used. The sample size was 415 participants. This study was conducted in Jordanian teaching hospitals. The study population was patients who used outpatient clinics in these hospitals. The study found that there is very low agreement between patients’ expectation and their perceptions. Overall, the perceived service quality was significantly lower than the expected service quality across all of the dimensions used to measure the service quality gap (reliability, responsiveness, assurance, empathy, and tangibles). The results suggest regional variation, where patients who sought care at hospitals in Amman have a four-fold higher perception of the quality of services than patients who visited Irbid hospitals. Also, patients who are more highly educated (Diploma, Bachelor, or Higher Studies) have a higher perception than patients who have less than secondary education. Age and gender were found to have no significant association with patients’ perceptions. The findings of this study suggest that there is a gap between patients’ perceptions and expectations. Thus, there is a need to close this gap by improving patient satisfaction with the quality of services.

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“…La sensibilidad de este estudio para detectar pseudomeningoceles está reportada entre 79% y 86%, con una especificidad de 50% a 97%. 15 16 Según Bordalo-Rodrigues et al, 17 existe una mayor correlación interobservador al evaluar las raíces en TAC con mielografía que en resonancia magnética (RM). Sin embargo, la mayor limitante es lo invasivo de la técnica y la potencial toxicidad del medio de contraste, además de que se han reportado 13 18 pacientes con pseudomeningoceles en ausencia de avulsiones de raíz, así como raíces avulsionada sin formación de pseudomeningoceles.…”

Section: Estudios Adicionalesunclassified

“…Its sensitivity to detect pseudomeningoceles ranges from 79% to 86%, with a specificity ranging from 50% to 97%. 15 16 Bordalo-Rodrigues et al 17 report a higher interobserver correlation in the root evaluation using CT with myelography compared with magnetic resonance imaging (MRI). However, a major limitation is its invasiveness and the potential toxicity of the contrast medium; in addition, patients with pseudomeningoceles may not present root avulsions, and avulsed roots may not result in pseudomeningoceles.…”

Section: Additional Studiesmentioning

confidence: 99%

Lesiones del plexo braquial en adultos: Una revisión narrativa de la literatura

Ananías

Pino

2022

Revista Chilena de Ortopedia y Traumatología

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ResumenLa patología traumática del plexo braquial comprende un amplio espectro de lesiones potencialmente devastadoras para la funcionalidad de los pacientes. El objetivo del presente trabajo es realizar una revisión narrativa de la literatura enfocada en el diagnóstico y estudio de las lesiones del plexo braquial en adultos, además de entregar nociones básicas sobre el manejo de esta compleja patología. Nivel de evidencia: Nivel V.

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Diagnostic accuracy of imaging studies for diagnosing root avulsions in post-traumatic upper brachial plexus traction injuries in adults

Cited by 7 publications

References 26 publications

Epidemiological, clinical, and electrophysiological findings in dogs and cats with traumatic brachial plexus injury: A retrospective study of 226 cases

Epidemiological, clinical, and electrophysiological findings in dogs and cats with traumatic brachial plexus injury: A retrospective study of 226 cases

On the Agreement between Patients’ Perceptions and Expectations about the Quality of Hospital Services

Lesiones del plexo braquial en adultos: Una revisión narrativa de la literatura

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