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Myelographic Demonstration of Brachial Plexus Root Avulsion

Myelographic Demonstration of Brachial Plexus Root Avulsion Abstract Introduction Stretch injuries to the brachial plexus with permanent residual disability are relatively infrequent. However, each case usually results in severe functional impairment for the patient and represents a difficult problem in management for the physician. Stretch injuries of the brachial plexus are classically divided into three types: Erb-Duchenne upper type, Klumpke's lower type, and the combined type. The Erb-Duchenne type, involving the fibers derived from C-5 and C-6, usually occurs when the head is forcibly separated from the shoulder. The Klumpke type, involving C-8 and T-1 fibers, usually results from forcible hyperabduction of the upper extremity at the shoulder. The combined type may range from complete plexus involvement to the simple addition of C-7 to either of the first two types.The term "avulsion of the brachial plexus" applies to actual separation of the nerve rootlets from the spinal cord. A presumptive diagnosis of avulsion of the brachial plexus References 1. Ehni, G.: Injuries of Peripheral Nerves and Plexuses: Current Methods of Treatment , S. Clin. North America 33:593-606, 1953. 2. Jaeger, R., and Whiteley, W. H.; Avulsion of the Brachial Plexus , J. A. M. A. 153:633-635, 1953.Crossref 3. Murphey, F.; Hartung, W., and Kirklin, J. W.: Myelographic Demonstration of Avulsing Injury of the Brachial Plexus , Am. J. Roentgenol. 58:102-105, 1947. 4. Murphey, F., and Kirklin, J. W.: Myelographic Demonstration of Avulsing Injuries of the Brachial Plexus, read before the Clinical Congress of the American College of Surgeons, Chicago, 1949 5. Rayle, A. A.; Gay, B. B., Jr., and Meadors, J. L.: The Myelogram in Avulsion of the Brachial Plexus , Radiology 65:65-72, 1955.Crossref 6. Tarlov, I. M.: Myelography to Help Localize Traction Lesions of the Brachial Plexus , Am. J. Surg. 88:266-271, 1954.Crossref 7. White, J. C., and Hanelin, J.: Myelographic Sign of Brachial Plexus Avulsion , J. Bone & Joint Surg. 36-A:113-118, 1954. 8. Whiteleather, J. E., and Clayton, R. S.: Traumatic Avulsion of Nerve Roots , M. Radiog. & Photog. 26:27-29, 1950. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png A.M.A. Archives Surgery American Medical Association

Myelographic Demonstration of Brachial Plexus Root Avulsion

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Publisher
American Medical Association
Copyright
Copyright © 1957 American Medical Association. All Rights Reserved.
ISSN
0096-6908
DOI
10.1001/archsurg.1957.01280130106018
Publisher site
See Article on Publisher Site

Abstract

Abstract Introduction Stretch injuries to the brachial plexus with permanent residual disability are relatively infrequent. However, each case usually results in severe functional impairment for the patient and represents a difficult problem in management for the physician. Stretch injuries of the brachial plexus are classically divided into three types: Erb-Duchenne upper type, Klumpke's lower type, and the combined type. The Erb-Duchenne type, involving the fibers derived from C-5 and C-6, usually occurs when the head is forcibly separated from the shoulder. The Klumpke type, involving C-8 and T-1 fibers, usually results from forcible hyperabduction of the upper extremity at the shoulder. The combined type may range from complete plexus involvement to the simple addition of C-7 to either of the first two types.The term "avulsion of the brachial plexus" applies to actual separation of the nerve rootlets from the spinal cord. A presumptive diagnosis of avulsion of the brachial plexus References 1. Ehni, G.: Injuries of Peripheral Nerves and Plexuses: Current Methods of Treatment , S. Clin. North America 33:593-606, 1953. 2. Jaeger, R., and Whiteley, W. H.; Avulsion of the Brachial Plexus , J. A. M. A. 153:633-635, 1953.Crossref 3. Murphey, F.; Hartung, W., and Kirklin, J. W.: Myelographic Demonstration of Avulsing Injury of the Brachial Plexus , Am. J. Roentgenol. 58:102-105, 1947. 4. Murphey, F., and Kirklin, J. W.: Myelographic Demonstration of Avulsing Injuries of the Brachial Plexus, read before the Clinical Congress of the American College of Surgeons, Chicago, 1949 5. Rayle, A. A.; Gay, B. B., Jr., and Meadors, J. L.: The Myelogram in Avulsion of the Brachial Plexus , Radiology 65:65-72, 1955.Crossref 6. Tarlov, I. M.: Myelography to Help Localize Traction Lesions of the Brachial Plexus , Am. J. Surg. 88:266-271, 1954.Crossref 7. White, J. C., and Hanelin, J.: Myelographic Sign of Brachial Plexus Avulsion , J. Bone & Joint Surg. 36-A:113-118, 1954. 8. Whiteleather, J. E., and Clayton, R. S.: Traumatic Avulsion of Nerve Roots , M. Radiog. & Photog. 26:27-29, 1950.

Journal

A.M.A. Archives SurgeryAmerican Medical Association

Published: Jul 1, 1957

References