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Traumatic brachial plexus injuries are relatively rare but potentially devastating injuries with substantial functional, psychological, and economic consequences. Prompt referral (ideally within 6 weeks of injury) to a center with a team of experts experienced in the diagnosis and management of these injuries is helpful to achieving optimal outcomes. Preoperative and intraoperative decision-making to diagnose and plan reconstructive procedures is complex and must take into account a number of factors, including the time from injury, concomitant injuries, preservation of cervical nerve roots, and the availability of intraplexal and extraplexal donor nerves for nerve transfer. A team approach is essential to ensure accurate localization of the pathology before surgery and to maximize rehabilitation after surgery, necessitating close contact between the surgical team, physiatrists, radiologists, and therapists. Copyright © 2022 by The Journal of Bone and Joint Surgery, Incorporated.

Citation

David M Brogan, Daniel A Osei, Berdale S Colorado, Darryl B Sneag, Anna Van Voorhis, Christopher J Dy. Team Approach: Management of Brachial Plexus Injuries. JBJS reviews. 2022 Apr 15;10(4)

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PMID: 35427254

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