Traumatic brachial plexus injury: diagnosis and treatment

Wu, Kitty; Spinner, Robert J.; Shin, Alexander Y.

doi:10.1097/wco.0000000000001124

Cited by 5 publications

(4 citation statements)

References 45 publications

(56 reference statements)

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“…The BPI is one of the more serious peripheral nerve injury diseases, with partial or even complete loss sensorimotor function of the upper limbs as the main manifestation ( 23 ). The prevalence of the disease is increasing year by year, mainly caused by motor vehicle accidents, especially motorcycle traffic accidents ( 24 ) and traction injuries during neonatal delivery ( 25 ), which is seriously affecting people's daily life.…”

Section: Discussionmentioning

confidence: 99%

The efficacy of electroacupuncture for cervical nerve edema and movement disorder caused by the brachial plexus injury: a case report

Wang,

Liu,

et al. 2024

Front. Neurol.

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The brachial plexus injury (BPI) is one of the most severe types of peripheral nerve injuries, often caused by upper limb traction injury. In clinic, the surgery is widely used to treat the BPI. However, surgery may need to be performed multiple times at different stages, which carries risks and brings heavy economic burden. In non-surgical treatment, splinting, local injection of corticosteroids, and oral corticosteroids can achieve significant short-term benefits, but they are prone to recurrence and may cause complications of mechanical or chemical nerve damage. In this report, we present a case of a 46-year-old female patient with BPI. The patient had difficulty in raising, flexing and extending of the left upper limb, and accompanied with the soreness and pain of neck and shoulder. After 3 months of EA treatment, a significant reduction in the inner diameter of the left C5 to C7 root at the outlet of brachial plexus nerve was detected by musculoskeletal ultrasound, and the soreness and pain in the left neck and shoulder were significantly reduced. The soreness and pain in the left neck and shoulder did not recur for 2 years.Case summaryThe patient is a 46-year-old female with BPI. She experienced difficult in lifting, flexing and extending of the left upper limb, which accompanied by soreness and pain in the left neck and shoulder. After 3 months of EA treatment, the patient's pain and limb's movement disorder was improved. After 2 years of follow-up, the patient's left neck and shoulder showed no further pain.ConclusionEA has shown satisfied efficacy in BPI, improving limb restrictions and relieving pain in patients for at least 2 years.

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Section: Discussionmentioning

confidence: 99%

The efficacy of electroacupuncture for cervical nerve edema and movement disorder caused by the brachial plexus injury: a case report

Wang,

Liu,

et al. 2024

Front. Neurol.

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“…Adult traumatic BPI are occurring with growing frequency, the devastating outcome that even be life-altering seems require a multidisciplinary team approaches to address [ 34 , 35 ]. To explore novel medical approaches, the present work investigated the repair effect of combining local SKP-SCs implantation with end-to-end neurorrhaphy on BPI post-neurotomy.…”

Section: Discussionmentioning

confidence: 99%

Promotive effect of skin precursor-derived Schwann cells on brachial plexus neurotomy and motor neuron damage repair through milieu-regulating secretome

Chen,

Yang,

Cong

et al. 2024

Regenerative Therapy

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“…The severity of nerve injuries is often referred back to the Seddon and Sunderland classifications (Fig. 1) [1,2]. These classifications consider the degree of injury to the myelin sheath, axons and associated connective tissue elements and are used to help understand the timeline and prognosis for recovery, underpinning treatment decisions.…”

Section: Estimating the Severity Of Nerve Injurymentioning

confidence: 99%

“…In this review, we focus on controversies and advances in the diagnosis and management of PNT. This review does not consider entrapment or chronic compressive neuropathies, and brachial plexus injury is discussed in detail in a separate review in this issue [1].…”

Section: Introductionmentioning

confidence: 99%

Traumatic peripheral nerve injuries: diagnosis and management

Barnes

Miller²,

Simon

2022

Current Opinion in Neurology

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Purpose of reviewTo review advances in the diagnostic evaluation and management of traumatic peripheral nerve injuries.Recent findingsSerial multimodal assessment of peripheral nerve injuries facilitates assessment of spontaneous axonal regeneration and selection of appropriate patients for early surgical intervention. Novel surgical and rehabilitative approaches have been developed to complement established strategies, particularly in the area of nerve grafting, targeted rehabilitation strategies and interventions to promote nerve regeneration. However, several management challenges remain, including incomplete reinnervation, traumatic neuroma development, maladaptive central remodeling and management of fatigue, which compromise functional recovery.SummaryInnovative approaches to the assessment and treatment of peripheral nerve injuries hold promise in improving the degree of functional recovery; however, this remains a complex and evolving area.

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Traumatic brachial plexus injury: diagnosis and treatment

Cited by 5 publications

References 45 publications

The efficacy of electroacupuncture for cervical nerve edema and movement disorder caused by the brachial plexus injury: a case report

The efficacy of electroacupuncture for cervical nerve edema and movement disorder caused by the brachial plexus injury: a case report

Promotive effect of skin precursor-derived Schwann cells on brachial plexus neurotomy and motor neuron damage repair through milieu-regulating secretome

Traumatic peripheral nerve injuries: diagnosis and management

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