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Plastic Surgery | Reconstructive Surgery

PROCEDURE : SURGICAL

What is a brachial plexus injury?
  • A brachial plexus injury refers to damage to the network of nerves that run from the spinal cord in the neck down to the shoulder, arm, and hand.
  • Common Symptoms:
    - Weakness in the arm or hand.
    - Loss of sensation in the affected areas.
    - Paralysis in severe cases.
How does a brachial plexus injury occur?
  • Brachial plexus injuries typically occur due to sudden trauma or stretching of the nerves.
  • Causes:
    - Motor vehicle accidents, especially involving motorcycles.
    - Sports injuries, particularly in contact sports like football and wrestling.
    - Birth injuries during delivery (neonatal brachial plexus palsy).
What are the common symptoms of a brachial plexus injury?
Symptoms depend on the severity and location of the injury.
  • Mild Symptoms: Temporary weakness or tingling in the arm.
  • Severe Symptoms: Complete loss of movement or sensation in the affected arm or hand.
Before
After
How is a brachial plexus injury diagnosed?
  • Diagnosis typically involves a combination of physical examinations and imaging tests.
  • Diagnostic Tests:
    - X-rays to rule out fractures or dislocations.
    - MRI or CT scans to assess the extent of nerve damage.
    - Electromyography (EMG) and nerve conduction studies to evaluate nerve function.
What are the treatment options for a brachial plexus injury?
Treatment depends on the type and severity of the injury.
  • Nonsurgical Treatments:
    - Physical therapy to maintain joint flexibility and prevent muscle stiffness.
    - Pain management techniques.
  • Surgical Treatments:
    - Nerve grafts to bridge the gap between severed nerve ends.
    - Nerve transfers to restore function by redirecting a healthy nerve.
    - Tendon transfers to restore movement if nerve recovery is insufficient.
How long does it take to recover from a brachial plexus injury?
  • Recovery time varies depending on the severity of the injury and the treatment approach.
  • Recovery Timeline:
    - Mild injuries may heal within weeks to months.
    - Severe injuries may take several months to years, especially if surgery is involved.
Dr. Aakansha
What are the possible complications of a brachial plexus injury?
  • Complications can occur depending on the injury’s severity and the treatment method.
  • Potential Complications:
    - Chronic pain due to nerve damage.
    - Permanent weakness or paralysis in the affected limb.
    - Muscle atrophy from prolonged lack of use.
    - Joint stiffness and reduced mobility.
What are the risk factors for brachial plexus injuries?
  • Certain activities and conditions increase the risk of experiencing a brachial plexus injury.
  • Risk Factors:
    - Participation in contact sports.
    - Involvement in high-speed motor vehicle accidents.
    - Complications during childbirth, particularly in large infants or breech deliveries.

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