Brachial Plexus Injuries in adults

Brachial plexus injuries in adults can occur due to various causes, including traumatic events such as motor vehicle accidents, falls, sports injuries, and medical procedures. The brachial plexus is a network of nerves that control the muscles and sensation in the shoulder, arm, and hand. Depending on the severity and location of the injury, symptoms can range from mild to severe and include numbness, loss of sensation or movement, and pain.

There are different types of brachial plexus injuries, such as upper-trunk palsy, lower-trunk palsy, and pan-plexus palsy, each affecting different parts of the arm and hand. Upper-trunk palsy, for example, results from forceful downward pressure on the shoulder, affecting shoulder and elbow function. Lower-trunk palsy, on the other hand, typically maintains shoulder and elbow strength but results in loss of hand function and numbness in the fingers. Pan-plexus palsy is the most severe form, leading to complete paralysis of the arm and hand.

In terms of treatment, the approach depends on the severity and type of injury. Some injuries may heal on their own over time, while others might require surgical intervention. Non-surgical treatments include physical therapy, pain management, and the use of assistive devices. In more severe cases, surgery might be necessary to repair or graft nerves. Early diagnosis and treatment are crucial for better outcomes.

The physical examination for brachial plexus injuries involves assessing nerve function, muscle strength, and range of motion. Diagnostic tests may include X-rays, MRI, CT scans, nerve conduction studies, and electromyograms to determine the extent of the injury and plan appropriate treatment.

What are common causes of adult injuries?
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Common causes of adult injuries include falls, motor vehicle accidents, sports injuries, and workplace accidents.

Is surgery necessary for all adult injuries?
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Surgery is not always necessary for adult injuries. Your healthcare provider will determine the most appropriate treatment based on the type and severity of your injury.

Can adult injuries lead to long-term complications?
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es, some adult injuries can lead to long-term complications such as chronic pain, limited mobility, and arthritis. It's important to follow your healthcare provider's advice for proper treatment and rehabilitation.

How can I prevent re-injury after recovering from an adult injury?
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To prevent re-injury, it's important to continue with any prescribed rehabilitation exercises, maintain a healthy lifestyle, and avoid activities that may put you at risk for re-injury.

When can I resume normal activities after an adult injury?
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The time to resume normal activities after an adult injury varies depending on the type and severity of the injury. Your healthcare provider will provide guidance on when it is safe to resume normal activities.