Current Concepts Review: Radiation Plexopathy.

J Hand Surg Am

Department of Orthopedic Surgery, Division of Hand and Microsurgery; Washington University School of Medicine, St. Louis, MO. Electronic address:

Published: November 2024

AI Article Synopsis

  • - Radiation induced brachial plexopathy is a condition that develops slowly after radiotherapy, often showing symptoms like neuropathic pain, weakness, and dysfunction of the limbs.
  • - Symptoms can arise months to years later and significantly affect patients' quality of life.
  • - The review discusses the latest insights on treatment options for this condition, including surgical interventions such as neurolysis, nerve transfers, and vascularized free tissue transfer, aimed at helping hand surgeons stay informed.

Article Abstract

Radiation induced brachial plexopathy represents a constellation of symptoms that present in a delayed manner because of peri-plexus progressive fibrosis or direct neural injury with demyelination. Symptom onset is typically delayed months to years after radiotherapy. Patients may report neuropathic pain, weakness, or extremity dysfunction associated with morbidity and diminished quality of life. Reported surgical interventions include plexus neurolysis, nerve transfers, and vascularized free tissue transfer. In this review, we aim to present the practicing hand surgeon with an update and analysis on the current state of the radiation induced brachial plexopathy literature.

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Source
http://dx.doi.org/10.1016/j.jhsa.2024.09.026DOI Listing

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