Brachial Plexus Injury
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1
- Network of nerves that go from spinal cord to shoulder
- Injury occurs when nerves are damaged
- Injury occurs when nerves are damaged
brachial plexus injury
2
what is the etiology of brachial plexus injury
- Most often a result of an accident or injury
o Over stretching, compression, or tear to nerves
- Contact sports
- Birth Injury
- Traumatic accident
- Tumor or radiation
o Over stretching, compression, or tear to nerves
- Contact sports
- Birth Injury
- Traumatic accident
- Tumor or radiation
3
what are the signs and symptoms of a less severe brachial plexus injury
o Shockurning feeling shooting down arm
o Numbness/weakness in arm
o Can last seconds to days
o Numbness/weakness in arm
o Can last seconds to days
4
what are the signs and symptoms of a more severe brachial plexus injury
o Weakness or lack of function in shoulder/arm/hand
o Lack of movement or feeling in shoulder/arm/hand
o Severe pain
o Lack of movement or feeling in shoulder/arm/hand
o Severe pain
5
how are brachial plexus injuries diagnosed
- X-ray
- EMG: nerve conduction
- MRI
- CT scan
- EMG: nerve conduction
- MRI
- CT scan
6
what is the course and prognosis of brachial plexus injuries
- Less damaged
o May heal on its own with rest
- Severe damage
o May require surgical repair (within 6 months of injury)
o May never recover
o May heal on its own with rest
- Severe damage
o May require surgical repair (within 6 months of injury)
o May never recover
7
what is the medical/surgical management of brachial plexus injuries
- Surgical repair should occur within 6 months of injury
- pain management
- therapy
- pain management
- therapy
8
what are some different surgeries done for brachial plexus injuries
o Neuolysis
o Nerve graft
o Nerve transfer
o Muscle transfer
o Nerve graft
o Nerve transfer
o Muscle transfer
9
how can brachial plexus injuries impact occupational performance
- Weakness and numbness in affected arm
- Pain
- Age and injury dependent
- Pain
- Age and injury dependent
10
what are the precautions for brachial plexus injuries
joint protection, ROM limitations, weight limitations
11
what are the contraindications for brachial plexus injuries
nerve damage
12
what are the considerations for brachial plexus injuries
further injury
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