Different Modalities of Management of Brachial Plexus Injuries

Introduction: Adult traumatic brachial plexus injuries constitute about 33 % of all peripheral nerve injuries and constitute 1% of poly-traumatized patients. They range from partial weakness to total weakness of all upper limbs. Aim: To evaluate the different modalities and recent surgical techniques for the treatment of traumatic adult brachial plexus injuries. Patients and materials: Twenty-eight patients presented with post-traumatic adult brachial plexus injuries from April 2018 to November 2023. As regards collected data about the age, sex, causes, and mechanism of brachial plexus injuries, the decision for surgical approaches and technique was made. Results: The majority of the patients were adult males with a mean age of 31 years; 72% encountered motor vehicle and road traffic Accidents (RTA), and 28 % were motorbike accidents. 60% showed supraclavicular upper brachial plexus injuries, mainly C5-6 root avulsion. Nerve transfer, Neurolysis, and nerve grafting were the main surgical procedures that were followed. Function upper limb recovery had been achieved in about 61% of the study cases. Conclusion: Brachial plexus surgery achieved significant results in regaining shoulder and elbow joint movement. Nerve transfer and Neurolysis achieved better improvement than nerve grafting.