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2014 CRN – Brachial Plexus Lesions Authors: Mackinnon SE1, Yee A1Published: May 5, 2014AUTHOR INFORMATION1 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, MissouriDISCLOSURENo authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.ABSTRACTThis presentation is part of the 2014 Comprehensive Review of Neurosurgery video lectures and the first part of the Brachial Plexus Lesion lecture. Specifically, this presentation discusses the topic of treatment for brachial plexus injuries, which includes presentation of common injury patterns, management algorithms for nerve injuries, and pre-operative and post-operative therapy. Reconstructive options for common brachial plexus injuries are also discussed, however details on these reconstructive options are included in the second part of this lecture (Nerve Transfers for the Shoulder and Elbow).TABLE OF CONTENTS00:00 Introduction00:29 Brachial Plexus Anatomy02:27 Classification of Nerve Injuries05:16 Types of Ganglionic Nerve Injuries06:45 Clinical Examination of Brachial Plexus12:59 Root Injury Patterns15:09 Cord Injury Patterns17:00 Management of Nerve Injuries17:26 Management of Open Nerve Injuries18:15 Management of Brachial Plexus Closed Nerve Injuries19:08 Management of Gun-shot Wounds19:34 Management of Parsonage-Turner Syndrome22:03 Pre-operative and Post-operative Therapy25:47 Supraclavicular Exposure29:37 Infraclavicular Exposure33:07 Reconstruction Options for Root Injuries38:51 Reconstructive Options for Cord Injuries
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