Traumatic brachial palsy is a brachial plexus injury resulting in partial or total paralysis of the entire upper extremity.
Mostly it is an injury that occurs in adults, related to traffic accidents, labor, sports or knife attack or fire. The impact on children is very low.
The surgeon must assess injuries during the first month of the accident to determine the scope of damage and for the second month to study its evolution. If in the third month unsatisfactory evolution is detected a surgical treatment is needed.
The patient with traumatic brachial palsy comes with limited mobility whole or in part of the upper limb. It could be initially oriented as musculoskeletal injury, so you should always bear in mind the possible concomitant neurological injury. Similarly, it should be assessed for the presence of vascular damage. Additional tests will be performed, but the clinical examination will be critical for the initial diagnosis and to assess the injury and the subsequent evolution.
Initially, a strict control and evaluation of evolution is needed, to see the possible total or partial spontaneous recovery of the inability of the traumatic brachial palsy.
Surgery in patients with traumatic brachial palsy fundamental objective will regain maximum function of the upper extremity. An assessment of the nervous state will be conducted and microsurgical reconstruction will consider necessary. The approach must always be performed in a multidisciplinary way, with the assessment of surgical, nursing and rehabilitation equipment.
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Traumatic brachial palsy. Treatment