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Traumatic brachial plexus lesions in the adult: Indications and results

✍ Scribed by Professeur Jean-Yves Alnot

Publisher: John Wiley and Sons
Year: 1995
Tongue: English
Weight: 609 KB
Volume: 16
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.1920160108

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✦ Synopsis

While numerous situations may produce a traumatic brachial plexus palsy, these injuries are characteristic of young adults aged 18 -20 who have had a motorcycle accident. '-lo Lesions can be situated at any level from the base of nerve roots to the divisions of the brachial plexus in the axillary region, and several types of lesions can be differentiated: Supraclavicular lesions at the root level (75% of cases) Infra-and retroclavicular lesions of secondary trunks and of terminal branches (25% of cases)

The lesions are most often due to traction and stretching of the brachial plexus. The seventy of the lesions can be graded from 1 to 5 on the Sunderland scale.' At the root level, medullary avulsion constitutes a particular type.

Our experience is based on 8 10 cases operated on from 1975 to 1994 at the H6pital Bichat

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