Traumatic Brachial Plexus Injury: A Clinicoepidemiological Cross-Sectional Analysis

Authors

  • Shruthi Chandrasekar Department of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India
  • Shashank Chauhan Department of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India
  • Shivangi Saha Department of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India
  • Suvashis Dash Department of Plastic, Reconstructive and Burns Surgery, All India Institute of Medical Sciences, New Delhi, India
  • Ramesh Vaidyanathan Department of Trauma and Critical Care Surgery, JPNATC, All India Institute of Medical Sciences, New Delhi, India
  • Maneesh Singhal Department of Burns and Plastic Surgery Block, All India Institute of Medical Sciences, New Delhi, Ansari Nagar, New Delhi 110029, India

Keywords:

brachial plexus injury, epidemiology, Indian population, motor vehicle accidents

Abstract

Introduction Brachial plexus injuries (BPIs) are extremely debilitating and disabling conditions, resulting in a permanently neurologically impaired limb. Various factors like knowledge about the problem and its possiblemanagement, timely referral, accessibility to higher medical centers, patient affordability, and coronavirus disease 2019 in recent times have played major roles in the timing of patients presenting for BPI treatment.

Aims and Objectives The aim of this study was to assess the demographics in patients with BPI, mode and pattern of injury, neuropathic pain, time taken to report to a tertiary healthcare facility and to compare Naraka’s data with that of the current Indian demographic scenario.

Methods A retrospective analysis was conducted between November 2018 and November 2021.

Results We found that males were commonly affected and were within 18 to 40 years of age. Right side was commonly injured with supraclavicular mixed type of injuries occurring frequently. Motor vehicle accidents was found to be the leading cause of BPI with a high association with polytrauma associated injuries. The average time taken by the patients to present to the hospital was found to be 9.6 months.

Conclusion We observed many aspects to be common with those reported in literature such as sex, age, and mechanism of injury. However, the time taken to present to the hospital was found to be longer in our study population. There is also a deviation in our findings with the previously described Naraka’s seven 70s.

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Published

2023-01-11

Issue

Vol. 6 No. 1 (2022): Journal of Peripheral Nerve Surgery

Section

Research