What has changed in brachial plexus surgery?

Brachial plexus injuries, in all their severity and complexity, have been extensively studied. Although brachial plexus injuries are associated with serious and often definitive sequelae, many concepts have changed since the 1950s, when this pathological condition began to be treated more aggressive...

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Main Authors: Marcelo Rosa de Rezende, Gustavo Bersani Silva, Emygdio Jose Leomil de Paula, Rames Mattar Junior, Olavo Pires de Camargo
Format: Article
Language:English
Published: Elsevier España
Series:Clinics
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322013000300021&lng=en&tlng=en
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author Marcelo Rosa de Rezende
Gustavo Bersani Silva
Emygdio Jose Leomil de Paula
Rames Mattar Junior
Olavo Pires de Camargo
author_facet Marcelo Rosa de Rezende
Gustavo Bersani Silva
Emygdio Jose Leomil de Paula
Rames Mattar Junior
Olavo Pires de Camargo
author_sort Marcelo Rosa de Rezende
collection DOAJ
description Brachial plexus injuries, in all their severity and complexity, have been extensively studied. Although brachial plexus injuries are associated with serious and often definitive sequelae, many concepts have changed since the 1950s, when this pathological condition began to be treated more aggressively. Looking back over the last 20 years, it can be seen that the entire approach, from diagnosis to treatment, has changed significantly. Some concepts have become better established, while others have been introduced; thus, it can be said that currently, something can always be offered in terms of functional recovery, regardless of the degree of injury. Advances in microsurgical techniques have enabled improved results after neurolysis and have made it possible to perform neurotization, which has undoubtedly become the greatest differential in treating brachial plexus injuries. Improvements in imaging devices and electrical studies have allowed quick decisions that are reflected in better surgical outcomes. In this review, we intend to show the many developments in brachial plexus surgery that have significantly changed the results and have provided hope to the victims of this serious injury.
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spelling doaj.art-ae5dfde7490e44388b492f80b55286db2022-12-22T01:21:37ZengElsevier EspañaClinics1807-59321980-532268341141810.6061/clinics/2013(03)R02S1807-59322013000300021What has changed in brachial plexus surgery?Marcelo Rosa de Rezende0Gustavo Bersani Silva1Emygdio Jose Leomil de Paula2Rames Mattar Junior3Olavo Pires de Camargo4Universidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloUniversidade de São PauloBrachial plexus injuries, in all their severity and complexity, have been extensively studied. Although brachial plexus injuries are associated with serious and often definitive sequelae, many concepts have changed since the 1950s, when this pathological condition began to be treated more aggressively. Looking back over the last 20 years, it can be seen that the entire approach, from diagnosis to treatment, has changed significantly. Some concepts have become better established, while others have been introduced; thus, it can be said that currently, something can always be offered in terms of functional recovery, regardless of the degree of injury. Advances in microsurgical techniques have enabled improved results after neurolysis and have made it possible to perform neurotization, which has undoubtedly become the greatest differential in treating brachial plexus injuries. Improvements in imaging devices and electrical studies have allowed quick decisions that are reflected in better surgical outcomes. In this review, we intend to show the many developments in brachial plexus surgery that have significantly changed the results and have provided hope to the victims of this serious injury.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322013000300021&lng=en&tlng=enbrachial plexusnerve transfermicrovascular decompression surgeryfree tissue flapsreview
spellingShingle Marcelo Rosa de Rezende
Gustavo Bersani Silva
Emygdio Jose Leomil de Paula
Rames Mattar Junior
Olavo Pires de Camargo
What has changed in brachial plexus surgery?
Clinics
brachial plexus
nerve transfer
microvascular decompression surgery
free tissue flaps
review
title What has changed in brachial plexus surgery?
title_full What has changed in brachial plexus surgery?
title_fullStr What has changed in brachial plexus surgery?
title_full_unstemmed What has changed in brachial plexus surgery?
title_short What has changed in brachial plexus surgery?
title_sort what has changed in brachial plexus surgery
topic brachial plexus
nerve transfer
microvascular decompression surgery
free tissue flaps
review
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322013000300021&lng=en&tlng=en
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