Search Our Scientific Publications & Authors

Int J Gen Med 2022 18;15:5673-5680. Epub 2022 Jun 18.

Department of Radiology, Zhuji Affiliated Hospital of Shaoxing University, Shaoxing, People's Republic of China.

Purpose: To investigate the value of high-resolution MRI based on 3D-short inversion time inversion recovery sampling perfection with application-optimized contrasts (3D-STIR SPACE) sequence for the diagnosis of brachial plexus injury in infants and young children.

Methods: Physical examination, electromyography (EMG) and MRI data of 26 children with brachial plexus injury were retrospectively analyzed. Sensitivity, specificity, and accuracy were calculated for the three tests. Read More

Medicina (Kaunas) 2022 Jun 15;58(6). Epub 2022 Jun 15.

Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.

Pediatric Outcome Data Collection Instrument (PODCI) is among the most described scales developed to evaluate the physical status of children and adolescents with various musculoskeletal disorders. We aimed to translate PODCI from English to Serbian, culturally adopt items and domains, evaluate the temporal stability, internal consistency and the test-retest reliability of PODCI in children with obstetrical brachial plexus lesion (OBPL), and finally, to test the construct validity of PODCI against muscular manual test (MMT) The study included 48 eligible participants aged between 2 and 10 years with OBPL. The MMT was used to test the construct validity. Read More

Disabil Rehabil 2022 Jun 23:1-7. Epub 2022 Jun 23.

Faculty of Physical Therapy and Rehabilitation, Hacettepe University, Ankara, Turkey.

Purpose: The pediatric upper extremity motor activity log-revised (PMAL-R) is a structured interview that measures use of the affected arm in daily life in children with unilateral pathologies like hemiparetic cerebral palsy (CP) or birth brachial plexus injury (BBPI). This study investigated validity and test-retest reliability of the PMAL-R in children with BBPI.

Materials And Methods: The PMAL-R was administered to parents of 132 children with BBPI between 5 and 9 years for validity, also 98 parents were re-interviewed after 3 weeks to establish test-retest reliability. Read More

Disabil Rehabil 2022 Jun 18:1-7. Epub 2022 Jun 18.

School of Health Sciences, University of East Anglia, Norwich, UK.

Purpose: A traumatic brachial plexus injury (BPI) has life-changing consequences for patients and their families. Despite advancements in treatments final outcome is unpredictable depending on factors including time to treatment, injury severity, neural regeneration, and available interventions. The final outcome may not be seen for up to four years. Read More

J Vasc Interv Radiol 2022 Jun 16. Epub 2022 Jun 16.

Department of Minimally Invasive Tumor Therapies Center, Beijing Hospital, National Center of Gerontology; Institute of Geriatric Medicine, Chinese Academy of Medicine Sciences, Beijing, P.R. China; Graduate School of Peking Union Medical College; Chinese Academy of Medical Sciences, Beijing, P.R. China. Electronic address:

Purpose: This study aimed to prove the hypothesis that neurolysis based on ethanol injection in combination with iodine-125 (I) radioactive seed implantation could prolong nerve regeneration time compared with ethanol injection alone. Moreover, we assessed the grade of nerve injury using both methods.

Materials And Methods: Twenty female rabbits (mean 2. Read More

Vasc Specialist Int 2022 Jun 17;38:14. Epub 2022 Jun 17.

Department of Surgery, Division of Vascular Surgery and Endovascular Therapy, Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubirán, México City, México.

Chronic limb-threatening ischemia is rarely associated with previous traumatic injury. We present a case of a 28-year-old male with progressive digit ulcers, a weak pulse, cyanosis, and a cold limb. Eight months prior, he had a motorcycle accident resulting in a right clavicle fracture and brachial plexus injury. Read More

Radiol Case Rep 2022 Aug 11;17(8):2859-2862. Epub 2022 Jun 11.

Department of Radiology, Baoding Children's Hospital, Baoding 071051, China.

Neonatal obstetric brachial plexus palsy is common in newborns with fetal macrosomia, especially those who are delivered vaginally with shoulder dystocia or breech delivery. The anatomical structure of brachial plexus in newborns is thin, and it is neither collinear nor coplanar in space; The location, the type and degree of neonatal brachial plexus injury need to be comprehensively judged by clinical history, neurological and imaging examination. Conventional MR imaging is not sufficient to diagnose brachial plexus injury. Read More

J Bodyw Mov Ther 2022 Jul 28;31:30-36. Epub 2022 Mar 28.

Department of Neuroscience, University of Padova, Italy. Electronic address:

The integrity of connective tissue sheaths surrounding the nerves influences both the severity and the potential for recovery of brachial plexus lesions. This study presents an innovative, early onset, multidisciplinary approach to obstetric brachial plexus palsy. This approach is aimed at functional recovery of the nerve lesion and includes mobilization of the fascia using the Fascial Manipulation® method. Read More

Cureus 2022 May 11;14(5):e24931. Epub 2022 May 11.

Department of Rehabilitation Medicine, Nara Medical University, Kashihara, JPN.

Prone positioning is crucial in the respiratory management of patients with acute respiratory distress syndrome (ARDS) and reduces mortality. However, this may be complicated by compression-related peripheral nerve injury. We report the case of a male in his 80s with obesity admitted to the intensive care unit (ICU) with COVID-19 pneumonia who developed brachial plexus disorder in the right upper extremity and musculocutaneous neuropathy in the left. Read More

Front Hum Neurosci 2022 30;16:900214. Epub 2022 May 30.

Department of Pediatrics, The First Affiliated Hospital of Anhui Medical University, Hefei, China.

Objective: To explore the effect of modified constraint-induced movement therapy (mCIMT) on upper limbs residual dysfunction for infancy with the sequelas of unilateral brachial plexus injury (uBPI).

Methods: Single blind randomized controlled trial of mCIMT vs. standard care. Read More

Trauma Case Rep 2022 Aug 1;40:100665. Epub 2022 Jun 1.

Department of Plastic, Reconstructive and Hand Surgery, St Vincent's University Hospital, Dublin, Ireland.

Open traumatic brachial plexus injuries are rare, yet can be life threatening and require rapid clinic assessment. Early interdisciplinary collaboration is critical to achieve superior patient outcomes. This case of a 24-year-old female of a traumatic neck injury with contralateral brachial plexus injury demonstrates the limitations of early clinical assessment due to the potential for haemodynamic instability and highlights the priority of patient stabilisation. Read More

Curr Med Imaging 2022 Jun 10. Epub 2022 Jun 10.

Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Background: Radiological diagnosis of thoracic nerve diseases is difficult because they are rare and nerves cannot be seen directly on radiological images. The major nerves of the thorax can be listed as the phrenic, vagus, recurrent laryngeal, long thoracic nerve pairs, sympathetic chains, costal nerves, and brachial plexus. Diseases of thoracic nerves have various causes including traumatic injury, neuromuscular diseases, infection, compression, radiation, drugs, and tumors. Read More

Ann Plast Surg 2022 06;88(5 Suppl 5):S495-S497

From the Prisma Health/University of South Carolina School of Medicine, Columbia, SC.

Background: A thorough knowledge of normal and variant anatomy of the wrist and hand is fundamental to avoiding complications during carpal tunnel release. The purpose of this study was to document variations of the surface anatomy of the hand to identify a safe zone in which the initial carpal tunnel incision could be placed. The safe zone was identified as the distance between the radial side of hook of hamate and the ulnar edge of the origin of the motor branch of the median nerve (MBMN). Read More

Clin Imaging 2022 Jun 8;89:23-36. Epub 2022 Jun 8.

Mallinckrodt Institute of Radiology at Washington University School of Medicine, St. Louis, MO, United States of America. Electronic address:

Thoracic outlet syndrome (TOS) is a clinical disorder resulting from compression of the neurovascular bundle of the lower neck and upper chest. TOS can be categorized into neurogenic, venous, and arterial subtypes which result from anatomical compression of the brachial plexus, subclavian vein, and subclavian artery, respectively. This can lead to neurogenic pain as well as vascular injury with thrombosis and thromboembolism. Read More

Handchir Mikrochir Plast Chir 2022 Jun 10;54(3):253-262. Epub 2022 Jun 10.

University of Western Ontario Roth|McFarlane Hand and Upper Limb Center.

Cubital tunnel syndrome is one of the most common upper extremity nerve entrapment conditions. Clinical examination and electrodiagnostic studies assist in the diagnosis. Mild cases can be successfully treated conservatively, aiming to reduce traction and compression on the nerve. Read More

J Hand Surg Asian Pac Vol 2022 May 27:1-6. Epub 2022 May 27.

Upper Extremity and Reconstructive Microsurgery Unit, Institute of Orthopaedics, Lerdsin General Hospital, Department of Orthopaedic Surgery, College of Medicine, Rangsit University, Bangkok, Thailand.

Upper arm type brachial plexus palsy results in decreased shoulder and elbow function. Reanimation of shoulder and elbow function is beneficial in these patients. The aim of this study is to report the results of restoring the shoulder abduction and elbow extension in patients with C root avulsion injury by simultaneous transfer of the spinal accessory nerve for the supraspinatus muscle combined with the transferring of the sixth and seventh intercostal nerves for the serratus anterior muscle along with the third to fifth intercostal nerves to the triceps muscle. Read More

Praxis (Bern 1994) 2022 ;111(8):483-484

Universitätsspital Zürich, Zürich, Schweiz.

Cureus 2022 Apr 30;14(4):e24626. Epub 2022 Apr 30.

Orthopaedics and Traumatology, Patras University Hospital, Patras, GRC.

Traumatic brachial plexus injuries are serious, life-changing injuries that are becoming more common worldwide. A thorough physical examination, as well as radiologic and electrodiagnostic tests, are all part of the initial evaluation. Parameters such as injury patterns, the timing of intervention, patients' expectations, and pre-injury functional level should always be considered. Read More

Neural Regen Res 2022 Dec;17(12):2600-2605

Department of Orthopedics and Trauma, Peking University People's Hospital; Key Laboratory of Trauma and Neural Regeneration, Peking University; National Center for Trauma Medicine, Beijing, China.

Transferring the contralateral C7 nerve root to the median or radial nerve has become an important means of repairing brachial plexus nerve injury. However, outcomes have been disappointing. Electroencephalography (EEG)-based human-machine interfaces have achieved promising results in promoting neurological recovery by controlling a distal exoskeleton to perform functional limb exercises early after nerve injury, which maintains target muscle activity and promotes the neurological rehabilitation effect. Read More

Acta Neurochir (Wien) 2022 Jun 4. Epub 2022 Jun 4.

Department of Neurosurgery, Neurological Institute of Thailand, 312, Rajavithi Road, Thung Phayathai, Ratchathewi, Bangkok, Thailand.

Restoration of hand function after C8-T1 spinal nerve injury is challenging. We report a case of a young patient who underwent single-stage transfer of extensor carpi radialis brevis (ECRB) branch of radial nerve to flexor digitorum superficialis (FDS) branch of median nerve and transfer of brachialis branch of musculocutaneous nerve to anterior interosseous nerve (AIN), aiming for restoration of all finger flexion in iatrogenic C8-T1 spinal nerve injury after the resection of a dumbbell-shaped C8 neurofibroma. At 18 months after the operation, the fingers and thumb functions were successfully restored. Read More

Braz J Cardiovasc Surg 2022 Jun 3. Epub 2022 Jun 3.

Department of Cardiovascular Surgery, İstanbul Sultan 2. Abdülhamid Han Training and Research Hospital, İstanbul, Turkey.

Introduction: In this study, we aimed to present three different methods for symptomatic aberrant right subclavian artery (ARSA) surgery.

Methods: We identified 11 consecutive adult patients undergoing symptomatic and/or aneurysmal ARSA repair between January 2016 and December 2020. Symptoms were dysphagia (n=8) and dyspnea + dysphagia (n=3). Read More

Sci Rep 2022 Jun 2;12(1):9217. Epub 2022 Jun 2.

Lee Kong Chian School of Medicine, Nanyang Technological University Singapore, 11 Mandalay Road, 308232, Singapore, Singapore.

Median nerve cross-sectional area (CSA) was used for screening and diagnosis of neuropathy, but few studies have suggested reference range. Hence, this systematic review was performed to evaluate a normative values of median nerve CSA at various landmarks of upper limb based on ultrasonography. PubMed and Web of science were used to search relevant articles from 2000 to 2020. Read More

Hand Surg Rehabil 2022 May 30. Epub 2022 May 30.

Hacettepe University, Faculty of Physical Therapy and Rehabilitation, Adnan Saygun Street, Altındağ, 06230 Ankara, Turkey. Electronic address:

Obstetric brachial plexus palsy (OBPP) leads to various hand-function disorders. The present study aimed to determine activity-based hand function profiles in preschool children with different OBPP functional levels. 112 children aged 44-77 months were included, and grouped on the Narakas classification: group 1, Narakas type 1; group 2, type 2: and group 3, types 3 + 4. Read More

Eplasty 2022 8;22:e2. Epub 2022 Feb 8.

Texas Nerve and Paralysis Institute, Houston, Texas.

Background: External Rotational Humeral osteotomy is used to address the external rotation deficit in older children with obstetric brachial plexus Injury (OBPI). Although this procedure improves the cosmetic effect of shoulder subluxation, it has no effect on the underlying structural (glenohumeral deformity and scapular elevation and rotation) and functional problems. In this study, improvements in glenohumeral joint alignment; scapular hypoplasia, elevation, and rotation (SHEAR) deformity; and upper extremity functional movements were demonstrated in adult patients with OBPI 1 year after the mod Quad and/or triangle tilt surgeries. Read More

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):213-217

The objective of this study was to determine the role of ad- junctive surgical procedures on the median nerve for carpal tunnel syndrome as measured by somatosensory evoked potentials (SEPs) on the nerve. Fifty-five median nerves in 47 patients were studied. In each patient, a base-line SEP was recorded in the operating room prior to incision and then intraoperatively following each of three sequential pro- cedures: division of the transverse carpal ligament, an epi- neurolysis of the nerve, and finally, either an epineurotomy or epineurectomy that we refer to as a "limited internal neu- rolysis" since it did not involve any intraneural dissection of fascicles. Read More

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):209-212

Background: Cubital tunnel syndrome and the resulting loss of hand dexterity and strength may necessitate surgical management. Studies have demonstrated no difference in outcome between surgical techniques. In an attempt to leave more ulnar nerves in situ while providing for stability within the cubital tunnel, we suggest a surgical treatment approach. Read More

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):200-208

Introduction: Carpal tunnel syndrome and ulnar nerve compression at the elbow (e.g., cubital tunnel syndrome) are the most common upper extremity compressive neuropa- thies treated by hand surgeons. Read More

Bull Hosp Jt Dis (2013) 2022 Jun;80(2):195-199

Background: Debate over the optimal age at time of surgery for treatment of brachial plexus birth injury (BPBI) remains controversial, and there exists geographical varia- tion in surgical preference for age at time of surgery. The objective of this review was to analyze trends in age and geography in brachial plexus microsurgery for treatment of brachial plexus birth injury (BPBI) over time.

Methods: Review of the literature in this study was con- ducted according to the Preferred Reporting Items for Sys- tematic Reviews and Meta-Analysis (PRISMA) guidelines. Read More

J Hand Surg Am 2022 May 28. Epub 2022 May 28.

Hand, Upper Limb, and Peripheral Nerve Surgery Service, Georges-Pompidou European Hospital (HEGP), Paris, France; University of Paris-Medical School, Paris, France; Clinique Blomet (Research Unit), Paris, France.

Purpose: Reconstructive surgery of brachial plexus injury in adults remains a challenge. Short- and midterm follow-up results have been described in terms of impairments, such as muscle strength grading. However, psychologic management has been shown to be a major contributor in long-term results. Read More

J Hand Surg Am 2022 May 28. Epub 2022 May 28.

Department of Medicine and Surgery, Harris Manchester College, Oxford University, Oxford, England; Division of Hand and Microsurgery, Department of Orthopedic Surgery, Washington University in St. Louis, Missouri. Electronic address:

Purpose: The dermatomal distributions of the ulnar and median nerves on the palmar skin of the hand have been studied thoroughly. However, the anatomic course of the median and ulnar cutaneous nerve branches and how they supply the skin of the palm is not well understood.

Methods: The cutaneous branches of the median and ulnar nerves were dissected bilaterally in 9 fresh cadavers injected arterially with green latex. Read More