Tóm tắt đám rối cánh tay người lớn là chấn thương Chấn thương tàn phá, và họ đang xảy ra với tần số ngày càng tăng. Bệnh nhân đánh giá bao gồm một đánh giá tập trung của động cơ cực trên và chức năng cảm giác, X quang học, và quan trọng MOST, trước và nghiên cứu Electrodiagnostic intraoperative. | Adult Traumatic Brachial Plexus Injuries Alexander Y. Shin MD Robert J. Spinner MD Scott P. Steinmann MD and Allen T. Bishop MD Abstract Adult traumatic brachial plexus injuries are devastating and they are occurring with increasing frequency. Patient evaluation consists of a focused assessment of upper extremity sensory and motor function radiologic studies and most important preoperative and intraoperative electrodiagnostic studies. The critical concepts in surgical treatment are patient selection as well as the timing and prioritizing of restoration of function. Surgical techniques include neurolysis nerve grafting neurotization and free muscle transfer. Results are variable but increased knowledge of nerve injury and repair as well as advances in microsurgical techniques allow not only restoration of elbow flexion and shoulder abduction but also of useful prehension of the hand in some patients. Dr. Shin is Associate Professor Department of Orthopaedic Surgery Division of Hand Surgery Mayo Clinic Rochester MN. Dr. Spinner is Associate Professor Department of Neurosurgery and Department of Orthopaedic Surgery Division of Hand Surgery Mayo Clinic. Dr. Steinmann is Assistant Professor Department of Orthopaedic Surgery Mayo Clinic. Dr. Bishop is Professor Department of Orthopaedic Surgery Mayo Clinic. None of the following authors or the departments with which they are affiliated has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article Dr. Shin Dr. Spinner Dr. Steinmann and Dr. Bishop. Reprint requests Dr. Shin Mayo Clinic E14A 200 1st Street SW Rochester MN 55905. J Am Acad Orthop Surg 2005 13 382-396 Copyright 2005 by the American Academy of Orthopaedic Surgeons. Brachial plexus lesions frequently lead to significant physical disability psychological distress and socioeconomic hardship. These lesions can result from a variety of etiologies including birth injuries .
