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Critical Reviews™ in Physical and Rehabilitation Medicine
CiteScore™: 0.17 SNIP: 0.228 SJR: 0.117

ISSN Print: 0896-2960
ISSN Online: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.v8.i1-2.20
pages 19-28

Management of Traumatic Brachial Plexus Injury: A Review

Mohan S. Gulati
department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ
Steven C. Kirshblum
department of Physical Medicine and Rehabilitation, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ;2Spinal Cord Injury Services, Kessler Institute for Rehabilitation, 1199 Pleasant Valley Way, West Orange, NJ

ABSTRACT

Traumatic brachial plexus injuries constitute major medical and socioeconomic problems. Management of these injuries is based on careful evaluation by history, physical examination, radiographic assessment and electrodiagnosis. There have been dramatic advances in surgical techniques and an increased awareness of the importance of nerve grafting and neurotization. An early diagnosis and careful evaluation regarding the extent of the injury facilitates proper management. The severe pain and the functional impairment following avulsion injury leads to functional disability, and should be managed aggressively by a comprehensive rehabilitation program. Effective management of these injuries should be carried out by a multidisciplinary approach to facilitate community and vocational reintegration.