Infraclavicular Brachial Plexus Injuries

Leffert, Robert D.; Seddon, H. J.

doi:10.1302/0301-620x.47b1.9

Cited by 105 publications

(35 citation statements)

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“…In another study on multitrauma victims, 17% of the patients with infraclavicular lesions as opposed to 52% with supraclavicular lesions required operative intervention [53]. Similar numbers (13-18% of patients requiring surgery for BPI after shoulder dislocation) have been reported by other authors [6,18,31].…”

Section: Percentage Of Patients Requiring Operationsupporting

confidence: 76%

“…Inferior results and longer time required for recovery of the median and ulnar nerves have been observed by many authors [9,18,31,37,77,78].…”

Section: Factors Influencing Recoverymentioning

confidence: 74%

“…Thus, even minimal swelling within the sheath can cause compression on plexus elements [54]. Expanding haematoma or rarer pseudoaneurysm contributes to deterioration of neural function of the limb [11,15,18,31,38,59,62,63,89]. Moreover, occlusion of axillary artery may result in nerve ischaemia [54,59].…”

Section: Neurovascular Injurymentioning

confidence: 99%

“…This is caused by a long distance that needs to be covered by regenerating axons and the tendency towards quick atrophy of these muscles [9,18]. Improvement in function of intrinsic muscles of the hand can be expected after a significantly longer period of time, up to 36 months [31].…”

Section: Recoverymentioning

confidence: 99%

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Brachial plexus injury after shoulder dislocation: a literature review

et al. 2018

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Brachial plexus injuries are among the rarest but at the same time the most severe complications of shoulder dislocation. The symptoms range from transient weakening or tingling sensation of the upper limb to total permanent paralysis of the limb associated with chronic pain and disability. Conflicting opinions exist as to whether these injuries should be treated operatively and if so when surgery should be performed. In this review, available literature dedicated to neurological complications of shoulder dislocation has been analysed and management algorithm has been proposed. Neurological complications were found in 5.4-55% of all dislocations, with the two most commonly affected patient groups being elderly women sustaining dislocation as a result of a simple fall and young men after high-energy injuries, often multitrauma victims. Infraclavicular part of the brachial plexus was most often affected. Neurapraxia or axonotmesis predominated, and complete nerve disruption was observed in less than 3% of the patients. Shoulder dislocation caused injury to multiple nerves more often than mononeuropathies. The axillary nerve was most commonly affected, both as a single nerve and in combination with other nerves. Older patient age, higher energy of the initial trauma and longer period from dislocation to its reduction have been postulated as risk factors. Brachial plexus injury resolved spontaneously in the majority of the patients. Operative treatment was required in 13-18% of the patients in different studies. Patients with suspected neurological complications require systematic control. Surgery should be performed within 3-6 months from the injury when no signs of recovery are present.

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Section: Percentage Of Patients Requiring Operationsupporting

confidence: 76%

“…Inferior results and longer time required for recovery of the median and ulnar nerves have been observed by many authors [9,18,31,37,77,78].…”

Section: Factors Influencing Recoverymentioning

confidence: 74%

Section: Neurovascular Injurymentioning

confidence: 99%

Section: Recoverymentioning

confidence: 99%

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Brachial plexus injury after shoulder dislocation: a literature review

et al. 2018

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“…Kırıkların üçte birinde görülmekte ve ileri yaşla sıklığı artmaktadır. 13,22,23 Sinir yaralanması genelikle travma sıra-sında çekme ve dışarıdan basıya bağlı olarak, nö-ropraksi veya düşük grade aksonotmezis şeklinde olmaktadır.…”

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