Abstract

Brachial plexus injuries are devastating and have a significant impact on quality of life and upper extremity function. Although traditionally surgical intervention has resulted in relatively poor recovery of function, the implementation of new surgical techniques such as nerve transfers, combined with significantly improved knowledge of internal nerve topography, has dramatically improved outcomes. Although there remains a role for surgical interventions such as nerve grafting and tendon transfer, especially in the obstetrical brachial plexus palsy population, nerve transfers are rapidly emerging as the standard of care for the treatment of these difficult patients. This chapter highlights the anatomy, etiologies, investigations, patterns of injury, and surgical options to manage these patients and discusses the outcomes in this emerging field.

Original languageEnglish
Title of host publicationPlastic Surgery - Principles and Practice
PublisherElsevier
Pages826-841
Number of pages16
ISBN (Electronic)9780323653817
DOIs
StatePublished - Jan 1 2021

Keywords

  • Brachial plexus injury
  • Nerve graft
  • Nerve reconstruction
  • Nerve transfer

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