432 results match your criteria: "Traumatic Brachial Plexopathy"
Myoelectric performance of the reconstructed elbow flexor in patients with brachial plexus injuries.
J Electromyogr Kinesiol
December 2024
Motion Analysis Laboratory, Mayo Clinic, Department of Orthopedic Surgery, Rochester, MN 55905, USA; Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN, USA. Electronic address:
Traumatic adult brachial plexus injury is a debilitating injury. Myoelectric exoskeletons are functional tools for restoring elbow flexion. Electromyography signals are used for exoskeleton control, but a characterization specific to the traumatic adult brachial plexus injury population has yet to be performed.
View Article and Find Full Text PDFCommon sports-related nerve injuries seen by the electrodiagnostic medical consultant.
Muscle Nerve
November 2024
Department of Medicine, Division of Physical Medicine and Rehabilitation, University of Toronto, Toronto, Ontario, Canada.
The high physiologic demands of sports create dynamic stress on joints, soft tissues, and nerves which may lead to injuries in the athlete. Electrodiagnostic (EDx) assessment is essential to identify the correct diagnosis, localization, and prognosis, to guide management of sports-related neuropathies. A comprehensive review was performed to provide the EDx medical consultant with a practical approach to the common peripheral nerve disorders seen in athletes.
View Article and Find Full Text PDFPredisposing factors for incomplete spontaneous recovery after Parsonage-Turner Syndrome.
Acta Neurochir (Wien)
November 2024
Department of Orthopedic Surgery, Mayo Clinic, 200 First St. SW, Rochester, MN, 55905, USA.
Article Synopsis
Restoration of elbow flexion in patient with prolonged incomplete brachial plexus injury treated with bipolar latissimus dorsi muscle transfer: A case report.
Int J Surg Case Rep
December 2024
Faculty of Medicine, Department of Orthopaedic Surgery, Universitas Padjadjaran, Bandung, Indonesia.
Article Synopsis
- The study investigates the effects of a traumatic brachial plexus injury and successfully restores shoulder and elbow function through a bipolar latissimus dorsi muscle transfer procedure.
- A 26-year-old male patient with left upper limb weakness for 1.5 years post-injury initially showed no movement in shoulder abduction and elbow flexion, alongside partial nerve damage.
- Post-surgery, the patient regained elbow flexion and some shoulder movement, with significant improvement seen at six months, indicating the procedure's effectiveness and the importance of preoperative muscle strength assessment for recovery predictions.
Comparative study of traumatic and non-traumatic brachial plexus neuropathies using 3D-DESS and 3D-STIR-SPACE MRI sequences.
Minerva Surg
October 2024
Department of Radiology, Shaoxing Hospital of Traditional Chinese Medicine, Shaoxing Traditional Chinese Medicine Hospital Affiliated to Zhejiang Chinese Medical University, Shaoxing, Zhejiang, China -
Brachial and Lumbosacral Plexopathies.
Semin Neurol
October 2024
Department of Neurology, University of Alabama at Birmingham, Birmingham, Alabama.
Article Synopsis
- The brachial and lumbosacral plexuses are essential neural networks that connect the spinal cord to the limbs, involved in sending various types of signals throughout the body.
- Disorders of these plexuses can lead to significant disabilities since they affect multiple nerve fibers from different spinal regions, often requiring tests like electrodiagnostic studies and MRIs to assess the damage.
- Treatment primarily focuses on managing symptoms and rehabilitation, but if a specific cause is identified, surgical interventions like nerve grafts may be considered to restore limb function.
Non-traumatic brachial plexopathy identification from routine MRIs: Retrospective studies with deep learning networks.
Eur J Radiol
December 2024
Department of Radiology, Mayo Clinic, 200 First Street SW, Charlton 1, Rochester, MN 55905, USA. Electronic address:
Article Synopsis
- - The study aims to improve the diagnosis of non-traumatic brachial plexopathy using deep learning models applied to routine MRI scans from patients at Mayo Clinic over a 20-year period.
- - Researchers analyzed data from 196 patients and 256 MRI series, categorizing the abnormal cases and comparing the performance of six different deep learning approaches for identifying abnormalities in the brachial plexus.
- - The best model, using a feature merging strategy with multiple MRI sequences, achieved a high accuracy (89.5%) and AUC (92.2%), indicating strong potential for using advanced AI techniques in diagnosing this condition.
Pain Interference Prior to and 1 Year After Surgery for Adult Traumatic Brachial Plexus Injury.
J Hand Surg Am
December 2024
Department of Plastic and Reconstructive Surgery, University of Washington Medical Center, Seattle, WA.
Article Synopsis
- Pain after brachial plexus injury (BPI) is significant, and the study aimed to understand how factors like depression, anxiety, and muscle function relate to pain interference in daily life.
- In a cohort study, researchers measured pain interference, emotional health, and physical function in 37 BPI patients before and one year after surgery using standardized questionnaires.
- Results showed that pain interference scores remained high one year post-surgery, with strong correlations to pain symptoms and emotional recovery, highlighting the ongoing impact of pain in BPI patients' lives.
Insights into the Medial Pectoral Nerve Transfer for Shoulder Abduction in Brachial Plexus Injuries: A Retrospective Case Series Analysis.
World Neurosurg
December 2024
Department of Neurophysiology, Sarah Network of Rehabilitation Hospitals, Brasilia, Brazil.
Article Synopsis
Brachial Plexus Palsy: A Case Report of Compression-Induced Injury Associated With Alcohol Intoxication.
Cureus
July 2024
Geriatric Medicine, Loretto Health and Rehabilitation, Syracuse, USA.
Article Synopsis
- Brachial plexus palsy is a serious nerve condition often linked to trauma, inflammation, or tumors, but this report discusses a unique case related to alcohol use.
- A 72-year-old man with chronic alcohol abuse experienced left arm weakness after falling and staying immobile, leading to paralysis and pain without any acute fractures.
- The case underscores how alcohol intoxication and prolonged immobilization could lead to brachial plexus palsy, stressing the need for doctors to explore alternative causes for accurate diagnosis and treatment.
Assessment, management, and rehabilitation of traumatic peripheral nerve injuries for non-surgeons.
Muscle Nerve
June 2024
Parkwood Institute, St Joseph's Health Care London, London, Canada.
Article Synopsis
- * Surgical options like nerve grafting and transfers are crucial in treating these injuries, with nerve transfers becoming more common due to faster recovery and more precise targeting of nerves.
- * Electrodiagnostic specialists play a vital role in confirming diagnoses, recommending treatments, and monitoring recovery, which helps inform surgical and rehabilitation decisions after nerve transfers.
Positive effect of ulnar nerve fascicle transfer to musculocutaneous nerve seeded with allogeneic adipose tissue derived stem cells on nerve regeneration for repairing upper brachial plexus injury in a rat model: A preliminary study.
Microsurgery
July 2024
Faculty of Medicine, Department of Histology and Embryology, Selcuk University, Konya, Turkey.
Article Synopsis
- Traumatic peripheral nerve injuries occur in about 13-23 people per 100,000 annually and can lead to major functional impairments, making effective treatments critical.
- This study investigates the potential benefits of combining adipose-derived stem cells with nerve transfer procedures for improved repair outcomes in a rat model of brachial plexus injury.
- The results showed that the group receiving both nerve transfer and stem cells demonstrated more favorable outcomes compared to the nerve transfer group alone, indicating a promising avenue for future treatments.
Spinal Accessory to Suprascapular Nerve Transfer in Traumatic Brachial Plexus Injury: A Comparative Study of Shoulder Recovery Outcomes in the Anterior versus Posterior Approach and Surgeons' Preference.
World Neurosurg
September 2024
Department of Burns & Plastic Surgery, All India Institute of Medical Sciences, Patna, Bihar, India.
Article Synopsis
- The study compares two surgical approaches (anterior vs. posterior) for transferring the spinal accessory nerve to the suprascapular nerve in patients with traumatic brachial plexus injury, focusing on shoulder recovery.
- While no significant difference in muscle strength or range of motion was found between the groups, the posterior approach showed better outcomes in external rotation and higher patient satisfaction (86.7% vs. 68%).
- Surgeons also favored the posterior approach for its improved visibility and faster nerve exploration during the procedure.*
Triceps-to-Biceps Tendon Transfer Technique for Restoration of Elbow Flexion in Adult Brachial Plexus Injury.
Tech Hand Up Extrem Surg
December 2024
Department of Orthopaedic Surgery, Division of Hand Surgery.
Restoration of elbow flexion is a priority in treating adult traumatic brachial plexus injuries. A tendon transfer is an ideal option for patients not candidates for reconstructive nerve surgery or free-functioning muscle transfer. For patients with a partial brachial plexus injury or a pan plexus injury with adequate recovered triceps function and loss of elbow flexion, a triceps-to-biceps tendon transfer is a nonmicrosurgical option to restore elbow flexion.
View Article and Find Full Text PDFAre Patients With Adult Traumatic Brachial Plexus Injuries Satisfied With Their Appearance?
J Hand Surg Am
November 2024
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Washington, Seattle, WA.
Purpose: Adult traumatic brachial plexus injuries (tBPI) are devastating physically and emotionally. In addition to the physical loss of function and pervasive neuropathic pain, patients describe difficulty with negative self-image and social relationships. Our goal was to gain an initial understanding of body image and satisfaction with appearance among tBPI patients.
View Article and Find Full Text PDFMagnetic Resonance Imaging of Radiation-Induced Brachial Plexopathy.
Cureus
May 2024
Radiology, Datta Meghe Institute of Higher Education & Research, Wardha, IND.
Article Synopsis
- A 37-year-old woman developed motor and sensory weakness in her right arm eight years after receiving chemoradiotherapy for invasive ductal carcinoma of the right breast.
- The difficulties in diagnosing brachial plexus neuropathy in cancer patients stem from potential causes, including surgery trauma, cancer spread, or radiation effects.
- The case emphasizes the need for awareness of radiation-induced brachial plexopathy and highlights the importance of magnetic resonance imaging for accurate assessment and diagnosis.
Fluoroscopic sniff test as a diagnostic tool for phrenic nerve injury in patients with traumatic brachial plexus injury.
J Neurosurg
November 2024
Departments of1Orthopaedic Surgery.
Article Synopsis
- The study investigates the use of the fluoroscopic sniff test as a preoperative diagnostic tool for phrenic nerve injury in patients with traumatic brachial plexus injury (BPI).
- Conducted over four years, it involved 74 patients and compared the test results to direct nerve stimulation during surgery, revealing high sensitivity and specificity rates.
- The findings demonstrate that the fluoroscopic sniff test is a reliable and effective method for assessing phrenic nerve function, potentially streamlining surgical planning for nerve transfer procedures.
Evaluating the Ability of Brachial Plexus-Injured Patients to Control an Externally Powered (Myoelectric) Hand Prosthesis.
J Bone Joint Surg Am
December 2024
Division of Hand and Microvascular Surgery, Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota.
Article Synopsis
Ultrasound accuracy for brachial plexus pathology.
Clin Radiol
July 2024
Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Prince of Wales Hospital, 30-32 Ngan Shing Street, Shatin, Hong Kong. Electronic address:
Article Synopsis
- The study aimed to evaluate the accuracy of ultrasound in detecting brachial plexus pathology and compare its advantages and limitations to MRI imaging.
- Among 143 cases analyzed, ultrasound had a diagnostic accuracy of 98%, identifying most brachial plexus issues, including nerve tumors and injuries.
- The findings suggest that ultrasound is a reliable first-line imaging tool for suspected brachial plexus conditions, comparable in effectiveness to MRI.
Functional Free Muscle Transfer for Reconstruction of Traumatic Adult Brachial Plexus Injuries.
Hand Clin
May 2024
Hand Surgery and Reconstructive Microsurgery Group of the Institute of Orthopedics and Traumatology, Clinics Hospital of University of Sao Paulo, São Paulo, Brazil.
Article Synopsis
- Traumatic brachial plexus injury is primarily treated with functional free muscle transfer (FFMT), aiming to restore elbow flexion as the main goal, along with shoulder stability and hand movement.* -
- The article reviews existing literature on the effectiveness of FFMT for adults suffering from these injuries.* -
- It also offers surgical technical recommendations to optimize functional outcomes for patients undergoing FFMT after traumatic brachial plexus injuries.*
[Nerve Transfers in Children with Non-traumatic Amyoplasia].
Handchir Mikrochir Plast Chir
February 2024
Department of Plastic Surgery, Hand Surgery - Burn Center, Division for Plexus Surgery, University Hospital RWTH Aachen, Germany.
Article Synopsis
- Researchers explored the use of nerve transfers as a surgical option to improve mobility in patients with non-traumatic paralysis conditions like arthrogryposis multiplex congenita (AMC) and transverse myelitis (TM).
- The study involved 23 patients aged 4 to 64 months, demonstrating that early nerve transfers can successfully reactivate muscle function in the upper extremities.
- The findings suggest that nerve transfers are a viable treatment method that can enhance daily functioning in children with paralysis conditions, emphasizing the need for awareness among healthcare providers.
3D SHINKEI MR neurography in evaluation of traumatic brachial plexus.
Sci Rep
March 2024
Department of Radiology, The Third Hospital of Hebei Medical University, 139 Ziqiang Road, Shijiazhuang, 050051, Hebei, China.
Article Synopsis
The failed adult traumatic brachial plexus reconstruction.
J Hand Surg Eur Vol
December 2024
Department of Orthopaedic Surgery, Division of Hand and Microvascular Surgery, Mayo Clinic, Rochester, MN, USA.
Traumatic adult brachial plexus injuries typically cause immediate loss of upper limb function. Timely multidisciplinary treatment in specialized centres often results in a useful helper arm. Both the patient and the surgical team can benefit from an open discussion to set realistic expectations.
View Article and Find Full Text PDFAdult traumatic brachial plexus injuries: advances and current updates.
J Hand Surg Eur Vol
June 2024
Institute of Orthopaedics and Musculoskeletal Science, University College London, London, UK.
Article Synopsis
- - Techniques like nerve grafting, tendon transfer, and joint fusion are commonly used to enhance upper limb function for patients with brachial plexus palsies.
- - Innovative methods, like nerve transfers, are particularly beneficial for restoring function in cases of total root avulsions and improving movement in partial injuries.
- - Intraoperative electrical stimulation helps identify injured nerves for targeted treatment, and evaluating postoperative outcomes is essential for assessing the effectiveness of these techniques.
Epidemiology of Stingers in the National Football League, 2015-2019.
Sports Health
June 2024
Emory Sports Performance and Research Center, Emory University School of Medicine, Flowery Branch, Georgia.
Article Synopsis
- Transient traumatic neuropraxia, known as "stingers" or "burners," is a common injury in football affecting the brachial plexus or cervical nerve roots, often occurring during gameplay.
- A study analyzed NFL injury data from the 2015-2019 seasons, revealing that stingers were more prevalent during regular season games compared to preseason, with running backs and linebackers experiencing the highest rates.
- Of the 691 stingers recorded, most players (76.41%) did not miss any significant game time, with those who did missing an average of 4.79 days due to the injury.