High energy trauma of the upper extremity with traction injury of the brachial plexus
Journal
Macedonian Journal of Anaesthesia
Date Issued
2021-10
Author(s)
Gordana Georgieva
Gjorgje Dzokic
Tomislav Jovanoski
Blagoja Srbov
Abstract
As a severe peripheral nerve injury, brachial plexus lesion can cause limitation in every-
day home and workplace activities. Hereby, we present a patient with high-energy trauma of
the upper extremity. The examination showed motor weakness of the upper extremity and no
flexion and extension in the wrist and fingers with sensibility impairment. The examination and
mechanism of injury indicated traction lesion of the brachial plexus. MRI showed postganglionic
stretch injury. Treatment of choice was physical therapy. To evaluate the function of the upper
extremity after the injury, we used the DASH score. Four months post injury, the patient has
flexion and extension in the wrist and fingers. The mechanism of injury and the magnitude of
forces that caused the injury can guide as to the extent of the brachial plexus lesion. Analyzing
the acquired information, a plan for initial treatment can be established. On point treatment can
increase patient’s quality of life with better outcome.
day home and workplace activities. Hereby, we present a patient with high-energy trauma of
the upper extremity. The examination showed motor weakness of the upper extremity and no
flexion and extension in the wrist and fingers with sensibility impairment. The examination and
mechanism of injury indicated traction lesion of the brachial plexus. MRI showed postganglionic
stretch injury. Treatment of choice was physical therapy. To evaluate the function of the upper
extremity after the injury, we used the DASH score. Four months post injury, the patient has
flexion and extension in the wrist and fingers. The mechanism of injury and the magnitude of
forces that caused the injury can guide as to the extent of the brachial plexus lesion. Analyzing
the acquired information, a plan for initial treatment can be established. On point treatment can
increase patient’s quality of life with better outcome.
Subjects