We studied a consecutive series of 58 patients with penetrating missile injuries of the brachial plexus to establish the indications for exploration and review the results of operation. At a mean of 17 weeks after the initial injury, 51 patients were operated on for known or suspected vascular injury (16), severe persistent pain (35) or complete loss of function in the distribution of one or mo...

The increased incidence of motor vehicle accidents during the past century has been associated with a significant increase in brachial plexus injuries. New imaging studies are currently available for the evaluation of brachial plexus injuries. Myelography, CT myelography, and magnetic resonance imaging (MRI) are indicated in the evaluation of brachial plexus. Moreover, a series of specialized e...

BACKGROUND Brachial plexus block is useful for upper extremity surgery, and many techniques are available. The aim of our study was to compare the efficacy of axillary brachial plexus block using an ultrasound technique to the peripheral nerve stimulation technique. METHODS 60 patients scheduled for surgery of the forearm or hand were randomly allocated into two groups (n = 30 per group). For...

BACKGROUND AND AIMS It has been reported that clonidine when used as an additive in a dose of 90 μg in adults increases the duration of peripheral nerve blocks. Hence, this study was conducted to evaluate the effect of clonidine in brachial plexus blocks and to compare it with tramadol. MATERIAL AND METHODS Ninety patients posted for upper limb orthopedic surgery were divided randomly into th...

BACKGROUND/AIM Nerve transfers in cases of directly irreparable, or high level extensive brachial plexus traction injuries are performed using a variety of donor nerves with various success but an ideal method has not been established. The purpose of this study was to analyze the results of nerve transfers in patients with traction injuries to the brachial plexus using the thoracodorsal and med...

The brachial plexus is an ordered network of large nerves through which the sensory and motor nerve supply is distributed to all structures that constitute the upper limb. It is formed by the anterior rami of C5 to T1 spinal nerves. They unite to form the upper, middle and lower trunks. Each trunk splits into anterior and posterior divisions. All three posterior divisions merge to form the post...

573 Abstract: The anatomical variations of the brachial plexus in human have clinical significance to surgeons, radiologists and anatomists. We studied some variations in the formation of 130 brachial plexuses in sixty-five infant cadavers (34 males, 31 females; aged 1-7 days). The brachial plexus consisted of the 5, 6, 7, and 8 cervical spinal nerves and 1 thoracic spinal nerve (69.23%). We fo...

OBJECTIVE Restoration of the sensitivity to sensory stimuli in complete brachial plexus injury is very important. The objective of our study was to evaluate sensory recovery in brachial plexus surgery using the intercostobrachial nerve (ICBN) as the donor. METHODS Eleven patients underwent sensory reconstruction using the ICBN as a donor to the lateral cord contribution to the median nerve, w...