Management of brachial plexus injuries

ABSTRACT

Almost of brachial plexus injuries occurred in traffic accidents while driving high speed motorcycles. Their treatments were usually difficult with poor outcomes. Thanks to microsurgical techniques, these injuries could be treated early to restore the movement capability of patients. Clinical signs included paralysis of upper collar; behind clavicle and lower collar areas, and the signs of spinal cord injuries. Paraclinical tests included standard X ray; MRI; spinal radiography; electromusculography; muscle test; respiratory function tests. Regime: in the first examination: clinical examination, EMG test, muscle test, respiratory function tests, X ray studies of cervical spine, heart and lungs, other necessary films; myelography; MRI