Brachial Plexus Reconstruction (Feat. Dr. Mackinnon)

Brachial Plexus Reconstruction
Authors: Mackinnon SE1, Yee A1
Published: May 4, 2016

AUTHOR INFORMATION
1 Division of Plastic and Reconstructive Surgery, Washington University, St. Louis, Missouri

DISCLOSURE
No authors have a financial interest in any of the products, devices, or drugs mentioned in this production or publication.

ABSTRACT
This presentation describes our approach to management of brachial plexus injuries. This includes a description of the nerve injury classification and the appropriate electrodiagnostic tools used for assessing these challenging cases. Additionally, case examples are presented to review how to examine and diagnosis these patients. Surgical management strategies are also presented for root injuries through various combinations of nerve transfers. Finally, exposure of the brachial plexus is discussed through either a supraclavicular approach or infraclavicular approach.

TABLE OF CONTENTS
00:00 Introduction
00:24 Classification of Nerve Injuries
02:02 Electrodiagnostic Studies
06:43 Electromyography
10:20 Avulsion Injuries and Nerve Conduction Studies
14:04 Brachial Plexus Examination
19:18 Lower Plexus Injury Examination
22:10 BRACHIAL PLEXUS OVERVIEW
22:48 Common Presentations for Brachial Plexus Avulsions
24:24 Management for Root Injuries
24:30 C5,6 Injuries and Reconstructive Options
27:43 C5,6,7 Injuries and Reconstructive Options
30:10 C8, T1 Injuries and Reconstructive Options
33:32 C7,8 T1 Injuries and Reconstructive Options
36:41 Total Avulsion
37:57 BRACHIAL PLEXUS EXPOSURE
38:15 Supraclavicular Exposure (Scalenectomy)
41:25 Infraclavicular Exposure (Pectoral Takedown)
46:13 Conclusion