Epidemiology, etiology, and types of severe adult brachial plexus injuries requiring surgical repair: systematic review and meta-analysis

Neurosurgical Review
Radek KaiserAneta Krajcová

Abstract

The literature describing epidemiology, etiology, and types of serious brachial plexus injuries (BPIs) is sparse. The aim of this review was to investigate the epidemiological and etiopathogenetical data of serious BPIs undergoing surgical reconstruction. A systematic search was conducted from January 1985 to December 2017. All studies that reported data about prevalence of specific types and causes of BPIs in adults treated surgically were included and cumulatively analyzed. Ten studies including 3032 patients were identified. The pooled prevalence of closed BPIs was 93% (95% CI: 87-97%), lacerations accounted for 3% (95% CI: 1-6%), and gunshot wounds (GSWs) for 3% (95% CI: 0-7%). The prevalence of male patients was 93% (95% CI: 90-96%) and female cases 7% (95% CI: 4-10%). The most common cause of closed BPI was motorcycle accidents with 67% (95% CI: 49-82%) prevalence followed by car crashes with 14% (95% CI: 8-20%). Other causes were rare. Ninety percent (95% CI: 78-98%) of patients suffered from a supraclavicular or combined supra-/infraclavicular trauma, while 10% (95% CI: 2-22%) from isolated infraclavicular injury. The prevalence of complete lesions was 53% (95% CI: 47-58%) followed by upper plexus lesion with 39% (95% C...Continue Reading

References

Feb 1, 1992·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·B S Goldie, C J Coates
Oct 1, 1987·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J W Rosson
Jan 1, 1986·Neurosurgery·B A ScottR D Harris
Jan 1, 1985·International Orthopaedics·A O Narakas
Jun 1, 1995·Journal of Accident & Emergency Medicine·A F Brown
Jan 1, 1995·Microsurgery·P Songcharoen
Jan 1, 1993·Clinical Neurology and Neurosurgery·L N Coene
Nov 14, 1997·The Journal of Trauma·M M SamardzicD M Grujicic
Oct 8, 1999·Plastic and Reconstructive Surgery·J K TerzisP N Soucacos
Feb 27, 2001·Spinal Cord·K YazicioğluO Arpacioğlu
Jun 20, 2001·Acta Physiologica Scandinavica·J Fridén, R L Lieber
Oct 29, 2005·Journal of Reconstructive Microsurgery·Daniel H KimDavid G Kline
Feb 4, 2006·Journal of Reconstructive Microsurgery·Daniel H KimDavid G Kline
Apr 20, 2006·Arquivos de neuro-psiquiatria·Leandro Pretto Flores
Apr 22, 2006·Microsurgery·Marios D VekrisPanayotis N Soucacos
Apr 29, 2006·The Journal of Bone and Joint Surgery. British Volume·S AkitaH Kawai
Dec 20, 2007·Neurosurgery·Mohamed Ahmed-LabibLine Jacques
Oct 24, 2008·Microsurgery·Tatjana Ismini LanarasNektarios Sinis
Mar 24, 2009·British Journal of Neurosurgery·Mohammad SamadianFaezeh Sodagari
Jul 22, 2009·PLoS Medicine·David MoherUNKNOWN PRISMA Group
Jul 25, 2009·Journal of Brachial Plexus and Peripheral Nerve Injury·Halil Ibrahim SecerEngin Gonul
Sep 23, 2009·Neurology India·Filiz EserCigdem Atan
May 31, 2011·Injury·F AltafM Sinisi
Jan 20, 2012·The Journal of Bone and Joint Surgery. American Volume·Peter C RheeAlexander Y Shin
Jul 6, 2012·The Journal of Hand Surgery·Radek Kaiser, Pavel Haninec
Mar 2, 2013·Indian Journal of Plastic Surgery : Official Publication of the Association of Plastic Surgeons of India·Darshan Kumar A JainS Raja Sabapathy
Jan 1, 2014·Archives of public health = Archives belges de santé publique·Victoria N NyagaMarc Aerts
Nov 5, 2015·Revista Brasileira De Ortopedia·Frederico Barra de MoraesMatheus Veloso Paulino
Jul 2, 2016·Progress in Palliative Care·G M JohnstonM MacIntyre
Apr 17, 2017·The Journal of Hand Surgery·Jayme A BertelliFrancisco Soldado

❮ Previous
Next ❯

Citations

Dec 11, 2020·Neurology. Clinical Practice·Emily CasalettoO Kenechi Nwawka
Jan 21, 2021·Journal of Functional Morphology and Kinesiology·Immacolata BelvisoFelice Sirico
Jun 30, 2021·Annals of Anatomy = Anatomischer Anzeiger : Official Organ of the Anatomische Gesellschaft·Michal BenesVojtech Kunc
Jun 25, 2021·World Neurosurgery·Adilson Jose Manuel de OliveiraEberval Gadelha Figueiredo
Aug 3, 2021·Journal of Brachial Plexus and Peripheral Nerve Injury·Carmen Joanna González Lemus, Fernando Xavier Romero Prieto
Aug 17, 2021·Journal of Hand Therapy : Official Journal of the American Society of Hand Therapists·Andreia GushikemRoberta Temporal Soares
Sep 2, 2021·Journal of Reconstructive Microsurgery·Heri SurotoBrigita De Vega
Sep 21, 2021·Der Unfallchirurg·Birgit Weyand, Marcus Spies

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.