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Brachial Plexus

Brachial Plexus. Dr. Sama-ul-Haque. Objectives. Know the formation (root value) of brachial plexus. Understand the relations of brachial plexus. Know the divisions, cords and branches of the brachial plexus.

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Brachial Plexus

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  1. Brachial Plexus Dr. Sama-ul-Haque

  2. Objectives • Know the formation (root value) of brachial plexus. • Understand the relations of brachial plexus. • Know the divisions, cords and branches of the brachial plexus. • Understand the mechanism of injury to the brachial plexus and enlist the clinical features.

  3. Spinal Nerve

  4. Location of Brachial plexus

  5. Relations of Brachial plexus

  6. Relations of Brachial plexus

  7. Brachial Plexus

  8. Relation with Axillary Artery

  9. Postfixed Brachial Plexus

  10. Brachial Plexus Injuries • In Infants: During Difficult Delivery:

  11. Brachial Plexus Injuries • In Adults: • Sports most commonly associated: Football, baseball, basketball, volleyball, wrestling, and gymnastics. • Nerve injuries can result from: Blunt force trauma, poor posture or chronic repetitive stress.

  12. Brachial Plexus Injuries • Patients generally present with pain and/or muscle weakness. • Some patients may experience muscle atrophy.

  13. Brachial Plexus Injuries Result:  Anesthesia  Paralysis 1. Complete 2. Incomplete

  14. Erb- Duchenne palsy Injury to Superior part of Plexus. Occurrence: Due to excessive increase in the angle between neck and the shoulder. Roots Involved:  C5 and C6 Muscles Involved:  Shoulder  Arm

  15. Vacuum Extractor delivery

  16. Forceps delivery

  17. Falling on Shoulder

  18. Excessive Stretching

  19. Direct Blow

  20. Erb- Duchenne palsy Clinical Appearance: Motor Loss:  Adducted Shoulder  Medially Rotated Arm  Extended Elbow Sensory Loss:  Lateral aspect of Upper Limb

  21. klumpke paralysis or Palsy Injury to Inferior part of Plexus. Occurrence: Excessive abduction of arm. Less common then Injury to Superior part of Plexus. Roots Involved:  C8 and T1

  22. klumpke paralysis or Palsy Clinical Appearance: Motor Loss:  Small muscles of Hand Sensory Loss:  Medial aspect of Upper Limb

  23. Person grasping something to prevent a fall

  24. Baby’s upper limb is pulled excessively during delivery

  25. Claw Hand

  26. Claw Hand

  27. Cervical Rib Involves Inferior part of Plexus

  28. What is Waiter’s tip or Porter’s tipposition?

  29. Thank You

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