Introduction: Emergency physicians frequently manage anterior shoulder dislocations (ASD). While there are many effective methods to reduce an ASD, adequate analgesia is imperative.
Case Series: We used the supraclavicular brachial plexus (SBP) block to reduce ASD in three patients.
Conclusion: The SBP block reliably anesthetizes the entire upper extremity, including the shoulder, by targeting all trunks and divisions of the brachial plexus. Complications are rare. Considering its ease of implementation and paucity of complications, the SBP block may be an effective means for reducing ASD.
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http://dx.doi.org/10.5811/cpcem.24850 | DOI Listing |
Cureus
February 2025
Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Traumatic brachial plexus injury (TBPI) is a serious neurological condition most often resulting from trauma. This condition is among the most debilitating injuries affecting the upper limb. The injury is typically categorized as preganglionic or postganglionic based on the site of trauma, proximal to or distal to the dorsal root ganglion (DRG).
View Article and Find Full Text PDFFront Hum Neurosci
February 2025
Graduate School of Health Science, Kio University, Nara, Japan.
Background: Mirror visual feedback (MVF) has shown promise as a treatment for deafferentation pain following brachial plexus injury, yet the underlying mechanisms remain unclear. This study aimed to assess MVF's effect on two patients with deafferentation pain by analyzing cortico-muscular coherence (CMC), a measure of functional connectivity between the brain and muscles.
Methods: Two patients with brachial plexus injuries performed wrist movements with and without a mirror, accompanied by electromyography (EMG) and electroencephalography (EEG).
BMC Musculoskelet Disord
March 2025
Department of Orthopaedic and Trauma, The Affiliated Hospital of Yunnan University, Kunming, 650021, China.
Background: High-level complete transection of the median nerve will impair the flexion function and sensation of the thumb and index finger, and will also result in weakened wrist flexion strength. In rare cases, atypical clinical manifestations may arise, potentially due to ulnar-to-median nerve anomalies, such as Marinacci communication (MC), or the function of muscles directly innervated by ulnar nerve branches.
Case Presentation: A 52-year-old male sustained a chainsaw injury to his left elbow and forearm, resulting in complete transection of the median nerve.
Phys Occup Ther Pediatr
March 2025
Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Türkiye.
Aim: The aim of this study was to determine the amount of displacement of the Center of Pressure (CoP) during movement of the affected limb in children with Neonatal Brachial Plexus Palsy (NBPP) and to compare it with the unaffected side.
Method: Forty-six children (6.63 ± 1.
Med Phys
March 2025
Department of Biomedical Engineering, University of Melbourne, Melbourne, Australia.
Background: During head and neck (HN) radiation therapy, patients may undergo anatomical changes due to tumor shrinkage or weight loss. For these patients, adaptive radiation therapy (ART) is required to correct treatment plans and to ensure that the prescribed radiation dose is delivered to the tumor while minimizing dose to the surrounding organs-at-risk (OARs). Patient pre-treatment images and segmentation labels are always available during ART and may be incorporated into deep learning (DL) auto-segmentation models to improve performance on mid-treatment images.
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