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Brachial Plexus - Brachial Plexus symptom, treatment, causes


Etymology: From Latin:plectore= to braid

Brachial Plexus is the collection of nerves emerging from the cervical spinal cord, to supply the upper limbs. All the major nerves of the arms and hands belong to this plexus.

The brachial plexus can be felt as a tingling 'electric shock' sensation on gently pressing the fingertips into the space above the collarbone.

Brachial plexus is an arrangement of nerve fibres running from the spine, through the neck, the axilla, and into the arm. The nerves that are damaged control muscles in the shoulder, arm, or hand. Any or all of these muscles may be paralyzed. Some brachial plexus injuries are mild and will resolve with full function of the affected arm in a short time. However, a very large population of babies with brachial plexus injuries have a permanent disability. Symptoms may include a limp or paralyzed arm, lack of muscle control in the arm, hand, or wrist, and lack of feeling or sensation in the arm or hand. Many babies with brachial plexus injuries are larger than average at birth. However, newborns of all sizes, including premature babies, can have these injuries. Scapular winging is a common problem of all brachial plexus injuries due to impairment of the long thoracic nerve. Some brachial plexus injuries may heal without treatment. Many children improve or recover by 3 to 4 months of age. Treatment for brachial plexus injuries includes occupational or physical therapy and, in some cases, surgery.

The brachial plexus is formed by the union of portions of the fifth through eighth cervical nerves and the first thoracic nerve, all of which come from the spinal cord. High-energy trauma to the upper extremity and neck can cause a variety of lesions to the brachial plexus. The brachial plexus is responsible for cutaneous and muscular innervation of the entire upper limb, with two exceptions: the trapezius muscle innervated by the spinal accessory nerve and an area of skin near the axilla innervated by the intercostobrachialis nerve. The baby's shoulders may become impacted during the birth process, causing the brachial plexus nerves to stretch or tear. About 1 or 2 babies in 1,000 suffer brachial plexus injuries at birth. About 1 in 10 of these need treatment. Injuries to the brachial plexus affect the nerves supplying the shoulder, upper arm, forearm and hand, causing numbness, tingling, pain, weakness, limited movement, or even paralysis of the upper limb. Patient with a brachial plexus injury will usually present with arm internally rotated, abducted and wrist somewhat flex depending on level of lesion. Some brachial plexus injuries may heal on their own.

Causes of Brachial plexus

The common causes and risk factor's of Brachial plexus include the following:

  • Brachial plexus injuries are caused by damage to those nerves.
  • Childbirth injury.

Symptoms of Brachial plexus

Some sign and symptoms related to Brachial plexus are as follows:

  • A limp or paralyzed arm, lack of muscle control in the arm, hand, or wrist.
  • Lack of feeling or sensation in the arm or hand.
  • Lost muscle control in arm.
  • Numbness in arm.

Treatment of Brachial plexus

Here is list of the methods to treat Brachial plexus:

  • Some brachial plexus injuries may heal without treatment.
  • Physical therapy may be used.
  • Scapular stabilization to increase scapulo-humeral mobility.
  • More serious injuries will require surgery to repair injured nerves.

 

 

Brachial Plexus - Brachial Plexus symptom, treatment, causes

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