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Injury Patterns, Imaging Findings, and Prognosis for Muscle Strength Recovery in Surgical Infraclavicular Brachial Plexus Injuries.
J Hand Surg Glob Online
November 2024
Department of Orthopaedic Surgery, Hospital for Special Surgery, Hand and Upper Extremity Service, New York, NY.
Purpose: Historically, infraclavicular brachial plexus injuries (IBPIs) were considered neuropraxic injuries that would improve with nonsurgical intervention. However, more recent studies suggest that these injuries may benefit from surgical intervention. The aims of this retrospective study were to (1) describe injury patterns and associated injuries of isolated, traumatic IBPIs, (2) evaluate the concordance of preoperative ultrasound and magnetic resonance neurography with surgical findings of patients who underwent surgical intervention for IBPIs, and (3) describe outcomes of surgical intervention for these injuries.
View Article and Find Full Text PDF[Translated article] Paresthesias on the lateral face of the forearm: A nervous injury that is difficult to recognize.
Rev Esp Cir Ortop Traumatol
November 2024
Servicio de Neurofisiología Clínica, Hospital General Universitari de Castelló, Castellón de la Plana, Spain.
The lateral antebrachial cutaneous nerve (LACN) is the sensory branch of the musculocutaneous nerve and usually innervates the lateral aspect of the forearm. Isolated lesions are rare, of varied aetiology and generally underdiagnosed. We present a retrospective descriptive study of electromyography performed at the General University Hospital of Castellón in the last 20 years with isolated NCAL lesion.
View Article and Find Full Text PDFParesthesias on the lateral face of the forearm: A nervous injury that is difficult to recognize.
Rev Esp Cir Ortop Traumatol
September 2024
Servicio de Neurofisiología Clínica, Hospital General Universitari de Castelló, Castellón de la Plana, España.
Article Synopsis
- The lateral antebrachial cutaneous nerve (LACN) is a sensory nerve that often affects the outer forearm; however, isolated issues with it are uncommon and frequently misdiagnosed.
- A study at the General University Hospital of Castellón over 20 years identified 11 cases of isolated LACN lesions, predominantly in men around 44 years old, with most cases linked to earlier trauma.
- Symptoms included loss of sensation extending to the wrist and thumb, with electromyography revealing varying levels of nerve damage, and outcomes were poorer for those with more severe involvement, highlighting the need for awareness and proper surgical techniques to avoid nerve complications.
Isolated musculocutaneous nerve injury in a motorcyclist - a case report.
Acta Chir Plast
August 2024
Introduction: Isolated musculocutaneous nerve injuries occur rarely due to their anatomical location. We present our patient with a musculocutaneous nerve injury in a motorcyclist.
Case: The patient was initially treated for a motorcycle accident.
Combined Median, Ulnar, and Radial Nerve Injury after a Spiral Humeral Shaft Fracture.
Plast Reconstr Surg Glob Open
August 2024
From the Division of Plastic Surgery, Department of Surgery, University of Miami, Miami, Fla.
We report the case of a 43-year-old woman who presented with combined radial, median, and ulnar nerve palsies and a spiral humeral shaft fracture after falling down stairs. Postinjury, the patient did not recover full median, ulnar, and radial nerve function despite aggressive hand therapy. Electrodiagnostic studies and imaging findings were concerning for traction neuropraxia or transection, radial nerve neuroma, and scar encasement of the radial, median, and ulnar nerves.
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