The different causes of brachial plexus injuries

Authors

  • Syed Asif Hasan Department of Orthopaedics, Jeddah National Hospital, Jeddah, Saudi Arabia
  • Abdulrahman Saad Aljammaz College of Medicine, Shaqra University, Shaqra, Saudi Arabia
  • Mosleh Motesh AlGhamdi Department of Orthopaedics, Dhurma General Hospital, Riyadh, Saudi Arabia
  • Mohamed Jasim ALQattan Department of Emergency Medicine, King Hamad University Hospital, Muharraq, Bahrain
  • Abdulrahman Hussain Alsalman Department of Orthopaedics, Prince Mohammed Bin Abdulaziz Hospital, Riyadh, Saudi Arabia
  • Wafaa Sulaiman Alhifzi College of Medicine, King Khalid University, Abha, Saudi Arabia
  • Hassan Ahmed Aljudia College of Medicine, Al-Jouf University, Al-Jouf, Saudi Arabia
  • Mazen Jarallah Alqahtani Department of Orthopaedics, King Khalid Hospital, Najran, Saudi Arabia
  • Abdullrahman Mohammed Ali College of Medicine, King Khalid University, Abha, Saudi Arabia
  • Ahad Mohammed Almutairi College of Medicine, Unaizah College of Medicine, Unaizah, Saudi Arabia
  • Abrar Hasan Bukhamseen College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20213052

Keywords:

Microsurgery, Etiology, Injury, Brachial plexus, Neurosurgery

Abstract

Many etiologies have been reported to account for injuries to the brachial plexus, peripheral nerves and trauma. Additionally, many diseases have also been reported to cause the injury with many different pathophysiologies. For instance, some diseases have been classified as the primary diseases of the peripheral nerves including hereditary neuropathy. In the same context, brachial plexus damage or injury might also result secondary to a systemic disease, leading to a significant peripheral nerve injury as in cases with most metabolic neuropathies, which may result secondary to renal insufficiency, diabetes, amyloidosis and many other diseases. Furthermore, toxic and iatrogenic causes were also reported as potential causes for brachial plexus injuries. However, traumatic events are the most commonly reported, owing to motorcycle accidents, being the most common etiology. Although evidence is now abundant regarding the etiology, further studies are needed to furtherly validate the evidence and for more specification of the etiology and the underlying mechanisms.

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References

Kim DH, Cho YJ, Tiel RL, Kline DG. Outcomes of surgery in 1019 brachial plexus lesions treated at Louisiana state university health sciences center. J Neurosurg. 2003;98(5):1005-16.

Songcharoen P. Brachial plexus injury in Thailand: a report of 520 cases. Microsurgery. 1995;16(1):35-9.

Lanaras TI, Schaller HE, Sinis N. Brachial plexus lesions: 10 years of experience in a center for microsurgery in Germany. Microsurgery. 2009;29(2):87-94.

Johnson EO, Vekris MD, Zoubos AB, Soucacos PN. Neuroanatomy of the brachial plexus: the missing link in the continuity between the central and peripheral nervous systems. Microsurgery. 2006;26(4):218-29.

Vekris MD, Beris AE, Johnson EO, Korobilias AV, Pafilas D, Vekris AD, et al. Musculocutaneous neurotization to restore elbow flexion in brachial plexus paralysis. Microsurgery. 2006;26(4):325-9.

Ahmed-Labib M, Golan JD, Jacques L. Functional outcome of brachial plexus reconstruction after trauma. Neurosurgery. 2007;61(5):1016-22.

Krishnan KG, Martin KD, Schackert G. Traumatic lesions of the brachial plexus: an analysis of outcomes in primary brachial plexus reconstruction and secondary functional arm reanimation. Neurosurgery. 2008;62(4):873-85.

Eggermann K, Gess B, Häusler M, Weis J, Hahn A, Kurth I. Hereditary Neuropathies. Dtsch Arztebl Int. 2018;115(6):91-7.

Callaghan B, Feldman E. The metabolic syndrome and neuropathy: therapeutic challenges and opportunities. Ann Neurol. 2013;74(3):397-403.

Manji H. Toxic neuropathy. Curr Opin Neurol. 2011;24(5):484-90.

Hammond N, Wang Y, Dimachkie MM, Barohn RJ. Nutritional neuropathies. Neurol Clin. 2013;31(2):477-89.

Freitas MRD. Infectious neuropathy. Curr Opin Neurol. 2007;20(5):548-52.

Ho TW, McKhann GM, Griffin JW. Human autoimmune neuropathies. Ann Rev Neurosci. 1998;21:187-226.

Toyooka K, Fujimura H. Iatrogenic neuropathies. Curr Opin Neurol. 2009;22(5):475-9.

Koike H, Tanaka F, Sobue G. Paraneoplastic neuropathy: wide-ranging clinicopathological manifestations. Curr Opin Neurol. 2011;24(5):504-10.

Clancy WG, Brand RL, Bergfield JA. Upper trunk brachial plexus injuries in contact sports. Am J Sports Med. 1977;5(5):209-16.

Kaiser R, Waldauf P, Ullas G, Krajcová A. Epidemiology, etiology, and types of severe adult brachial plexus injuries requiring surgical repair: systematic review and meta-analysis. Neurosurg Rev. 2020;43(2):443-52.

Sakellariou VI, Badilas NK, Mazis GA, Stavropoulos NA, Kotoulas HK, Kyriakopoulos S, et al. Brachial plexus injuries in adults: evaluation and diagnostic approach. ISRN Orthop. 2014;2014:726103.

Kaiser R, Mencl L, Haninec P. Injuries associated with serious brachial plexus involvement in polytrauma among patients requiring surgical repair. Injury. 2014;45(1):223-6.

Gorden JA, Straub SJ, Swanik CB, Swanik KA. Effects of football collars on cervical hyperextension and lateral flexion. J Athl Train. 2003;38(3):209-15.

Ferraresi S, Garozzo D, Griffini C, Resmini B, Manara O, Foresti C, et al. Brachial plexus injuries. Guidelines for management: our experience. Ital J Neurol Sci. 1994;15(6):273-84.

Arzillo S, Gishen K, Askari M. Brachial plexus injury: treatment options and outcomes. J Craniofac Surg. 2014;25(4):1200-6.

Kawasaki T, Maki N, Shimizu K, Ota C, Urayama S, Moriya S, et al. Do stingers affect scapular kinematics in rugby players? J Shoulder Elbow Surg. 2014;23(12):293-9.

Charbonneau RM, McVeigh SA, Thompson K. Brachial neuropraxia in Canadian Atlantic University sport football players: what is the incidence of "stingers"? Clinic J Sport Med. 2012;22(6):472-7.

Feinberg JH. Burners and stingers. Phys Med Rehab Clinics North Am. 2000;11(4):771-84.

Kawai H, Kawabata H. Brachial plexus palsy. Osaka: World Scientific; 2000.

Jain DK, Bhardwaj P, Venkataramani H, Sabapathy SR. An epidemiological study of traumatic brachial plexus injury patients treated at an Indian centre. Indian J Plastic Surg. 2012;45(3):498-503.

Midha R. Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurgery. 1997;40(6):1182-8.

Terzis JK, Vekris MD, Soucacos PN. Outcomes of brachial plexus reconstruction in 204 patients with devastating paralysis. Plast Reconstr Surg. 1999;104(5):1221-40.

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Published

2021-07-27

How to Cite

Hasan, S. A., Aljammaz, A. S., AlGhamdi, M. M., ALQattan, M. J., Alsalman, A. H., Alhifzi, W. S., Aljudia, H. A., Alqahtani, M. J., Ali, A. M., Almutairi, A. M., & Bukhamseen, A. H. (2021). The different causes of brachial plexus injuries. International Journal Of Community Medicine And Public Health, 8(8), 4119–4122. https://doi.org/10.18203/2394-6040.ijcmph20213052

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Section

Review Articles