Surgical Approaches for Brachial Plexus Birth Injuries

2021 ◽  
pp. 557-582
Author(s):  
José L. Borrero
Keyword(s):  
Brachial Plexus ◽  
Surgical Approaches ◽  
Birth Injuries

OUTCOME FOLLOWING EARLY NEUROSURGICAL MANAGEMENT OF BRACHIAL PLEXUS BIRTH INJURIES: AN ANALYSIS OF 100 CONSECUTIVE CASES

2006 ◽  
Vol 37 (S 1) ◽  
Author(s):  
JAI Grossman ◽  
I Yaylali ◽  
LE Ramos ◽  
H Valencia ◽  
P Di Taranto ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Birth Injuries

Histopathological nerve assessment in brachial plexus birth injuries

2021 ◽  
Author(s):  
L. Bellity ◽  
M. Le Hanneur ◽  
S. Boudjemaa ◽  
M. Bachy ◽  
Frank Fitoussi
Keyword(s):  
Brachial Plexus ◽  
Birth Injuries

Developing a Decision Aid for Youth with Brachial Plexus Birth Injuries Facing Treatment Decisions for an Elbow Flexion Contracture

PM&R ◽  
2021 ◽  
Author(s):  
Emily S. Ho ◽  
Janet A. Parsons ◽  
Kristen Davidge ◽  
Howard M. Clarke ◽  
Margaret L. Lawson ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Decision Aid ◽  
Elbow Flexion ◽  
Treatment Decisions ◽  
Flexion Contracture ◽  
Birth Injuries

Surgical Reconstruction of Isolated Upper Trunk Brachial Plexus Birth Injuries in the Presence of an Avulsed C5 or C6 Nerve Root

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Kristen M. Davidge ◽  
Emily S. Ho ◽  
Christine G. Curtis ◽  
Howard M. Clarke
Keyword(s):  
Brachial Plexus ◽  
Nerve Root ◽  
Surgical Reconstruction ◽  
Birth Injuries

Brachial Plexus Birth Injuries

JBJS Reviews ◽  
2021 ◽  
Vol 9 (6) ◽  
Author(s):  
Nicholas Pulos ◽  
William J. Shaughnessy ◽  
Robert J. Spinner ◽  
Alexander Y. Shin
Keyword(s):  
Brachial Plexus ◽  
Birth Injuries

Brachial Plexus Birth Injuries: Evaluation—Radiologic Evaluation

2021 ◽  
pp. 511-515
Author(s):  
Felix E. Diehn ◽  
Julie B. Guerin ◽  
V. Michelle Silvera ◽  
Laurence J. Eckel
Keyword(s):  
Brachial Plexus ◽  
Birth Injuries ◽  
Radiologic Evaluation

Video-Assisted Thoracoscopic Dissection Of The Brachial Plexus:Cadaveric Study And Illustrative Case

2006 ◽  
Vol 58 (suppl_4) ◽  
pp. ONS-287-ONS-291 ◽  
Author(s):  
Chad J. Morgan ◽  
Jefferson Lyons ◽  
Benjamin C. Ling ◽  
P. Colby Maher ◽  
Robert J. Bohinski ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Brachial Plexus ◽  
Thoracoscopic Surgery ◽  
Surgical Approaches ◽  
Illustrative Case ◽  
Lower Trunk ◽  
Video Assisted ◽  
First Rib ◽  
Soft Tissue Dissection ◽  
Tissue Dissection

Abstract Objective: Standard surgical approaches to the brachial plexus require an open operative technique with extensive soft tissue dissection. A transthoracic endoscopic approach using video-assisted thoracoscopic surgery (VATS) was studied as an alternative direct operative corridor to the proximal inferior brachial plexus. Methods: VATS was used in cadaveric dissections to study the anatomic details of the brachial plexus at the thoracic apex. After placement of standard thoracoscopic ports, the thoracic apex was systematically dissected. The limitations of the VATS approach were defined before and after removal of the first rib. The technique was applied in a 22-year-old man with neurofibromatosis who presented with a large neurofibroma of the left T1 nerve root. Results: The cadaveric study demonstrated that VATS allowed for a direct cephalad approach to the inferior brachial plexus. The C8 and T1 nerve roots as well as the lower trunk of the brachial plexus were safely identified and dissected. Removal of the first rib provided exposure of the entire lower trunk and proximal divisions. After the fundamental steps to the dissection were identified, the patient underwent a successful gross total resection of a left T1 neurofibroma with VATS. Conclusion: VATS provided an alternative surgical corridor to the proximal inferior brachial plexus and obviated the need for the extensive soft tissue dissection associated with the anterior supraclavicular and posterior subscapular approaches.

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