OBJECTIVE The study aims to demonstrate the techniques employed in surgery of the brachial plexus that are associated to evidence-based improvement of the functional outcome of these patients. METHOD A retrospective study of one hundred cases of traumatic brachial plexus injuries. Comparison between the postoperative outcomes associated to some different surgical techniques was demonstrated. ...

The surgical intervention is necessary in about 20% of all cases of the perinatal brachial plexus palsy. In this study the intra-surgical view and the applied microsurgical techniques were analysed. The clinical material consisted of 49 children with the obstetric brachial plexus palsy treated operatively, on which the following changes were found intra-surgically: compression of the brachial p...

The median nerve is usually formed just lateral to the third part of the axillary artery by the union of its medial and lateral roots coming from medial and lateral cords of the brachial plexus respectively. It then descends down in the front of the arm and crosses superficial to the brachial artery from lateral to medial side. It enters the cubital fossa along with the brachial artery. Normall...

Editor’s key points † The hypothesis tested was that the addition of distal nerve blocks to an infraclavicular block would speed up onset. † Infraclavicular block with or without distal blocks of the median, ulnar, and radial nerves were compared using the same total dose of local anaesthetic. † A more rapid onset and more consistent block occurred in the combined group. Background. This prospe...

BACKGROUND Infraclaviculr Brachial plexus (ICBP) block is useful for upper extremity surgery. The aim of this study was to compare the ultrasound (US) technique with the nerve stimulation (NS) technique in their success rates and times to perform ICBP block. METHODS 60 patients undergoing surgery of the upper limb were randomly allocated into two groups (n = 30 per group). Group 1; US, and Gr...

The brachial plexus is a major and a complicated plexus at the root of the neck. It is formed by the ventral primary rami of the C5, C6, C7, C8 and the T1 spinal nerves. During the routine under graduate dissection of the right upper limb of an adult female cadaver, a variant pattern of a two trunked brachial plexus was encountered. The upper trunk was formed by the fusion of the C5 and the C6 ...

Brachial plexopathy usually results from an iatrogenic brachial plexus injury and can sometimes cause severe chronic pain and disability. There are a number of possible treatments for this condition, including medication, physical therapy, nerve blocks, and neuromodulation, but they are not always successful. Recently, combined spinal cord stimulation (SCS) and peripheral nerve stimulation (PNS...

Introduction The median nerve is formed by the two roots of the brachial plexus the lateral root from the lateral cord and the medial root from the medial cord. The medial cord crosses the third part of the axillary artery and joins with the lateral root to form the median nerve lateral to the artery. The median nerve crosses the brachial artery in the middle of the arm from lateral to medial s...

An interscalene brachial plexus block is an effective means of providing anesthesia-analgesia for shoulder surgery. However, it has a multitude of potential side effects such as phrenic nerve block. We report a case of a patient who developed atelectasis of the lung, and pleural effusion manifested as chest discomfort during a continuous interscalene brachial plexus block for postoperative anal...

The paper describes the results of clinical testing an apparatus for dosed traction brachial plexus trunks. It is shown that in presence a 5 cm diastasis, it possible to connect nerve fragments and perform neurorhaphy without tension by bringing shoulder head bring physiological position two half months after reconstructive surgery.