Brachial Plexus Injury: Recent Diagnosis and Management

Tito  Sumarwoto; Heri  Suroto; Ferdiansyah  Mahyudin; Dwikora Novembri  Utomo; Seti Aji  Hadinoto; Muhammad  Abdulhamid; Pamudji  Utomo; Romaniyanto Romaniyanto; R. Andhi  Prijosedjati; Sholahuddin Rhatomy

doi:10.3889/oamjms.2021.5578

Authors

Tito Sumarwoto Doctoral Program, Faculty of Medicine, Airlangga University, Surabaya, Indonesia; Department of Orthopedics and Traumatology, Faculty of Medicine, Sebelas Maret University, Orthopedic Hospital Prof. Dr. R. Soeharso, Surakarta, Indonesia
Heri Suroto Department of Orthopedics and Traumatology, Faculty of Medicine, Airlangga Universitym, Regional General Hospital Dr. Soetomo, Surabaya, Indonesia
Ferdiansyah Mahyudin Abdelrahid
Dwikora Novembri Utomo Department of Orthopedics and Traumatology, Faculty of Medicine, Airlangga Universitym, Regional General Hospital Dr. Soetomo, Surabaya, Indonesia
Seti Aji Hadinoto Department of Orthopedics and Traumatology, Faculty of Medicine, Sebelas Maret University, Orthopedic Hospital Prof. Dr. R. Soeharso, Surakarta, Indonesia
Muhammad Abdulhamid Department of Orthopedics and Traumatology, Faculty of Medicine, Sebelas Maret University, Orthopedic Hospital Prof. Dr. R. Soeharso, Surakarta, Indonesia
Pamudji Utomo Department of Orthopedics and Traumatology, Faculty of Medicine, Sebelas Maret University, Orthopedic Hospital Prof. Dr. R. Soeharso, Surakarta, Indonesia
Romaniyanto Romaniyanto Department of Orthopedics and Traumatology, Faculty of Medicine, Sebelas Maret University, Orthopedic Hospital Prof. Dr. R. Soeharso, Surakarta, Indonesia
R. Andhi Prijosedjati Department of Orthopedics and Traumatology, Faculty of Medicine, Sebelas Maret University, Orthopedic Hospital Prof. Dr. R. Soeharso, Surakarta, Indonesia
Sholahuddin Rhatomy Department of Orthopaedics and Traumatology, Dr. Soeradji Tirtonegoro General Hospital, Klaten, Indonesia; 5Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia

DOI:

https://doi.org/10.3889/oamjms.2021.5578

Keywords:

Brachial plexus injury, Diagnosis, Current management

Abstract

Brachial plexus injury is known to be one of the most serious upper limb injuries, causes paralysis of the upper limbs and changes in activity of daily living, with the consequence disruption of activity of daily living, socio-economic problems, depression, and hopelessness. Management must be done properly. The evaluation and examination consist of detailed anamnesis on chronological events, complete physical examination, imaging studies, and electrophysiology study. Management can be done nonsurgically and surgically. Knowledge of the history of injury, timing of surgery, priority in restoring function, and managing patient expectations are important concepts in treating patient with brachial plexus injury. Timing is a very important thing. The results of these interventions vary depending on several parameters. Recognizing the basic principles of managing brachial plexus injuries is indispensable for all clinicians who treat these injuries.

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