The Treatment For Brachial Plexus Injury Discussion Paper

Posted on April 6, 2023

The Treatment For Brachial Plexus Injury Discussion Paper

Question

A 17-year-old girl was thrown from her horse while attempting a difficult jump. She landed on her right shoulder and the right side of her head. Immediately after the injury she was treated at an emergency department. After a few days, she went back to the emergency department and her main complaints were inability to raise her right upper limb from her side,

inability to flex the right elbow and numbness on the lateral aspect of the right forearm. She was referred to an orthopedic surgeon. When the patient was seen by an orthopedic surgeon, he observed that the injured right limb hung limply by the side and was rotated medially at the shoulder. Also, the forearm was extended and pronated with wrist and finger flexion, which in medicine is commonly referred to as “waiter’s tip deformity”. A physical examination found that the injury caused severe restriction of movement at the shoulder and elbow joints. The patient was unable to abduct or laterally rotate the shoulder and the forearm was pronated with the wrist and fingers flexed. There was sensory loss of skin over the deltoid muscle and along the lateral side of the forearm.

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Based on this scenario can you name the most likely diagnosis and the treatment you would recommend to treat this diagnosis. Pros and cons of the treatment if possible! The Treatment For Brachial Plexus Injury Discussion Paper

Expert Answer

This solution was written by a subject matter expert. It’s designed to help students like you learn core concepts.

Step-by-step

Step 1/1
The most probable finding for the 17-year-old young lady’s physical issue is a brachial plexus injury. The brachial plexus is an organization of nerves that runs from the spinal rope in the neck and shoulder region to the arm, controlling development and sensation. A physical issue to this organization of nerves can cause shortcoming or loss of motion in the impacted appendage and loss of sensation. The treatment for brachial plexus injury relies upon the seriousness of the injury. In extreme cases, careful mediation might be expected to fix the harmed nerves. In less serious cases, active recuperation might be prescribed to assist with further developing muscle strength and scope of movement. For this situation, given the serious limitation of development and tangible misfortune, almost certainly, careful intercession would be suggested. The particular surgery would rely upon the degree and area of the injury.

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Final answer
Choices might incorporate nerve joining, nerve move, or muscle move. Professionals of careful mediation remember the potential for critical improvement for capability and sensation in the impacted appendage. Cons might incorporate dangers related with any a medical procedure, like disease or entanglements from sedation, as well as the potential for inadequate recuperation regardless of medical procedure. Following a medical procedure, exercise based recuperation would probably be prescribed to assist with reestablishing capability and strength in the impacted appendage. The patient would have to follow a particular recovery program customized to her singular necessities and objectives, which might incorporate activities to further develop scope of movement, strength preparing, and tangible re-instruction. It is essential to take note of that the particular finding and therapy plan for the patient ought to be made by a certified clinical expert who has assessed the patient’s particular circumstance exhaustively The Treatment For Brachial Plexus Injury Discussion Paper

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