Anatomy and injury disability

edit

Anatomy

edit
 
This image shows the anterior view of the 5 brachial plexus nerves on the human arm.

The brachial plexus is made up of spinal nerves that are part of the peripheral nervous system. It includes sensory and motor nerves that innervate the upper limbs. The brachial plexus includes the last 4 cervical nerves (C5-C8) and the 1st thoracic nerve (T1). Each of those nerves splits into smaller trunks, divisions, and cords. The lateral cord includes the musculocutaneous nerve and lateral branch of the median nerve. The medial cord includes the medial branch of the median nerve and the ulnar nerve. The posterior cord includes the axillary nerve and radial nerve [1]

. http://www.mediawiki.org/wiki/File:Gray808.png

Location and testing

edit

http://www.mediawiki.org/wiki/File:Illu_nerve_structure.jpg Injuries to the brachial plexus result from excessive stretching or tearing of the C5-T1 nerve fibers. These injuries can be located in front of or behind the clavicle, nerve disruptions, or root avulsions from the spinal cord. These injuries are diagnosed based on clinical exams, axon reflex testing, and electrophysiological testing [2] Brachial plexus injuries require quick treatment in order for the patient to make a full functional recovery (Tung, 2003). These types of injuries are most common in young adult males [3].

Disabilities

edit

http://www.mediawiki.org/wiki/File:Gray812and814.svg http://www.mediawiki.org/wiki/File:Brachial_plexus_2.svg Based on the location of the nerve damage, brachial plexus injuries can affect part of or the entire arm. For example, musculocutaneous nerve damage weakens elbow flexors, median nerve damage causes proximal forearm pain, and paralysis of the ulnar nerve causes weak grip and finger numbness [4]. In some cases, these injuries can cause total and irreversible paralysis. In less severe cases, these injuries limit use of these limbs and cause pain [5]

.

 
This image shows the anterior and posterior views of the torso and upper limb of the human body.
  1. ^ Leinberry, CF.; Wehbé, MA. (2004). "Brachial plexus anatomy". Hand Clin. 20 (1): 1–5. PMID 15005376. {{cite journal}}: Unknown parameter |month= ignored (help)
  2. ^ Davis, DH.; Onofrio, BM.; MacCarty, CS. (1978). "Brachial plexus injuries". Mayo Clin Proc. 53 (12): 799–807. PMID 732356. {{cite journal}}: Unknown parameter |month= ignored (help)
  3. ^ Tung, TH.; Mackinnon, SE. (2003). "Brachial plexus injuries". Clin Plast Surg. 30 (2): 269–87. PMID 12737356. {{cite journal}}: Unknown parameter |month= ignored (help)
  4. ^ Lorei, MP.; Hershman, EB. (1993). "Peripheral nerve injuries in athletes. Treatment and prevention". Sports Med. 16 (2): 130–47. PMID 8378668. {{cite journal}}: Unknown parameter |month= ignored (help)
  5. ^ Wynn Parry CB (1984). Brachial plexus injuries. British Journal of Hospital Medicine 32(3): 130-132, 134-139.