Recent advances in the management of brachial plexus injuries
Management of brachial plexus injury is a demanding field of hand and upper extremity surgery. With currently available microsurgical techniques, functional gains are rewarding in upper plexus injuries. However, treatment options in the management of flail and anaesthetic limb are still evolving. La...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2014-05-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.138941 |
| _version_ | 1819176008952053760 |
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| author | Prem Singh Bhandari Sanjay Maurya |
| author_facet | Prem Singh Bhandari Sanjay Maurya |
| author_sort | Prem Singh Bhandari |
| collection | DOAJ |
| description | Management of brachial plexus injury is a demanding field of hand and upper extremity surgery. With currently available microsurgical techniques, functional gains are rewarding in upper plexus injuries. However, treatment options in the management of flail and anaesthetic limb are still evolving. Last three decades have witnessed significant developments in the management of these injuries, which include a better understanding of the anatomy, advances in the diagnostic modalities, incorporation of intra-operative nerve stimulation techniques, more liberal use of nerve grafts in bridging nerve gaps, and the addition of new nerve transfers, which selectively neurotise the target muscles close to the motor end plates. Newer research works on the use of nerve allografts and immune modulators (FK 506) are under evaluation in further improving the results in nerve reconstruction. Direct reimplantation of avulsed spinal nerve roots into the spinal cord is another area of research in brachial plexus reconstruction. |
| first_indexed | 2024-12-22T21:03:56Z |
| format | Article |
| id | doaj.art-3f154548019f46538097c8fbf4690814 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-22T21:03:56Z |
| publishDate | 2014-05-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-3f154548019f46538097c8fbf46908142022-12-21T18:12:43ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2014-05-01470219119810.4103/0970-0358.138941Recent advances in the management of brachial plexus injuriesPrem Singh Bhandari0Sanjay Maurya1Department of Plastic Surgery, Command Hospital (NC), Chandimandir Cantt, Panchkula, Haryana, IndiaDepartment of Plastic Surgery, Command Hospital (WC), Chandimandir Cantt, Panchkula, Haryana, IndiaManagement of brachial plexus injury is a demanding field of hand and upper extremity surgery. With currently available microsurgical techniques, functional gains are rewarding in upper plexus injuries. However, treatment options in the management of flail and anaesthetic limb are still evolving. Last three decades have witnessed significant developments in the management of these injuries, which include a better understanding of the anatomy, advances in the diagnostic modalities, incorporation of intra-operative nerve stimulation techniques, more liberal use of nerve grafts in bridging nerve gaps, and the addition of new nerve transfers, which selectively neurotise the target muscles close to the motor end plates. Newer research works on the use of nerve allografts and immune modulators (FK 506) are under evaluation in further improving the results in nerve reconstruction. Direct reimplantation of avulsed spinal nerve roots into the spinal cord is another area of research in brachial plexus reconstruction.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.138941brachial plexus injuriesnerve graftsrecent advancesreimplantation of avulsed spinal nerve rootsselective nerve transfers |
| spellingShingle | Prem Singh Bhandari Sanjay Maurya Recent advances in the management of brachial plexus injuries Indian Journal of Plastic Surgery brachial plexus injuries nerve grafts recent advances reimplantation of avulsed spinal nerve roots selective nerve transfers |
| title | Recent advances in the management of brachial plexus
injuries |
| title_full | Recent advances in the management of brachial plexus
injuries |
| title_fullStr | Recent advances in the management of brachial plexus
injuries |
| title_full_unstemmed | Recent advances in the management of brachial plexus
injuries |
| title_short | Recent advances in the management of brachial plexus
injuries |
| title_sort | recent advances in the management of brachial plexus injuries |
| topic | brachial plexus injuries nerve grafts recent advances reimplantation of avulsed spinal nerve roots selective nerve transfers |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.138941 |
| work_keys_str_mv | AT premsinghbhandari recentadvancesinthemanagementofbrachialplexusinjuries AT sanjaymaurya recentadvancesinthemanagementofbrachialplexusinjuries |