2012
DOI: 10.1007/s00701-012-1291-7
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Types and severity of operated supraclavicular brachial plexus injuries caused by traffic accidents

Abstract: Study results indicate that the most common injury was an upper plexus palsy. It was characteristic of bicycle accidents, and significantly more common in car and motorcycle accidents. The results also indicate that it is important to consider the potential of a brachial plexus injury after serious traffic accidents and to examine both upper extremities in detail even if some motor function is preserved.

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Cited by 42 publications
(38 citation statements)
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“…The distribution of the BP injuries detected in our population was also comparable to a recent study. 25 The MRM has replaced the CTM in the diagnostic work-up of BPI at many institutions; however, recognition of nerve root avulsions may still present a challenge, in particular, when the dural scar and blood degradation products diminish the CSF signal intensity, resulting in an increased risk for misdiagnosis with relevant consequences on surgical planning. On the other hand, laminectomy with intradural surgical exploration of the nerve roots, which represents the reference standard for the assessment of root avulsion, is not routinely applied in the treatment of BP injuries because it is timeconsuming and exposes the patient to additional risks.…”
Section: Discussionmentioning
confidence: 99%
“…The distribution of the BP injuries detected in our population was also comparable to a recent study. 25 The MRM has replaced the CTM in the diagnostic work-up of BPI at many institutions; however, recognition of nerve root avulsions may still present a challenge, in particular, when the dural scar and blood degradation products diminish the CSF signal intensity, resulting in an increased risk for misdiagnosis with relevant consequences on surgical planning. On the other hand, laminectomy with intradural surgical exploration of the nerve roots, which represents the reference standard for the assessment of root avulsion, is not routinely applied in the treatment of BP injuries because it is timeconsuming and exposes the patient to additional risks.…”
Section: Discussionmentioning
confidence: 99%
“…The authors have not been able to define the maneuver according to conventional chiropractic techniques. This mechanism would appear to be a similar mechanism to high-energy sporting injuries such as that which occur in football (4) or motor vehicle accidents (5), producing injury to nerve roots or brachial plexus and a spectrum of injury from reversible neuroraxia to permanent injury. In these situations, the upper trunk is the most commonly injured (5).…”
Section: Discussionmentioning
confidence: 98%
“…Annual incidence is approximately 45 cases per 100 000, similar to the incidence of epilepsy 1. Severe PNT complicates approximately 5% of polytrauma cases, such as motor vehicle accidents 2. The implications of PNT can be particularly significant as it commonly affects younger people of working age and may result in impaired limb function, and reduced ability to participate in the workforce 3 4.…”
Section: Introductionmentioning
confidence: 99%