Upper brachial plexus lesions: nerve transfers for pediatric cases, reconstruction methods philosophy in adults, donor nerve options to spinal accessory nerve

The brachial plexus constitutes a intricate network of nerves responsible for the innervation of the upper extremity. Among brachial plexus injuries, the supraclavicular region is the most commonly affected zone. Lesions in the infraclavicular and retroclavicular regions are less frequent occurrences. Comparatively, the roots and trunks are more susceptible to impairment than cords and terminal branches. It's important to acknowledge the occurrence of two-level injuries and include them in the spectrum of possible diagnoses. Within the supraclavicular region, avulsion injuries manifest following forceful lateral tilting of the head and neck away from the shoulder on the same side, leading to disruption of the C5, C6, and C7 roots or upper trunk.
The prognosis of a traumatic brachial plexus injury hinges primarily on factors like the patient's age, the specific nerve affected, the level of the injury, the timing of surgical intervention, and any concurrent medical conditions. For a comprehensive understanding of diverse treatment approaches, delve into the insights shared in this webinar.

Speakers

  • Jean Noël Goubier, MD
  • Jorge Clifton, MD
  • Johnny Chuieng Yi Lu, MD