What has changed in brachial plexus surgery?
Autor(a) principal: | |
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Data de Publicação: | 2013 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Clinics |
Texto Completo: | https://www.revistas.usp.br/clinics/article/view/72142 |
Resumo: | Brachial plexus injuries, in all their severity and complexity, have been extensively studied. Although brachial plexus injuries are associated with serious and often definitive sequelae, many concepts have changed since the 1950s, when this pathological condition began to be treated more aggressively. Looking back over the last 20 years, it can be seen that the entire approach, from diagnosis to treatment, has changed significantly. Some concepts have become better established, while others have been introduced; thus, it can be said that currently, something can always be offered in terms of functional recovery, regardless of the degree of injury. Advances in microsurgical techniques have enabled improved results after neurolysis and have made it possible to perform neurotization, which has undoubtedly become the greatest differential in treating brachial plexus injuries. Improvements in imaging devices and electrical studies have allowed quick decisions that are reflected in better surgical outcomes. In this review, we intend to show the many developments in brachial plexus surgery that have significantly changed the results and have provided hope to the victims of this serious injury. |
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What has changed in brachial plexus surgery?Brachial PlexusNerve TransferMicrovascular Decompression SurgeryFree Tissue FlapsReviewBrachial plexus injuries, in all their severity and complexity, have been extensively studied. Although brachial plexus injuries are associated with serious and often definitive sequelae, many concepts have changed since the 1950s, when this pathological condition began to be treated more aggressively. Looking back over the last 20 years, it can be seen that the entire approach, from diagnosis to treatment, has changed significantly. Some concepts have become better established, while others have been introduced; thus, it can be said that currently, something can always be offered in terms of functional recovery, regardless of the degree of injury. Advances in microsurgical techniques have enabled improved results after neurolysis and have made it possible to perform neurotization, which has undoubtedly become the greatest differential in treating brachial plexus injuries. Improvements in imaging devices and electrical studies have allowed quick decisions that are reflected in better surgical outcomes. In this review, we intend to show the many developments in brachial plexus surgery that have significantly changed the results and have provided hope to the victims of this serious injury.Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo2013-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://www.revistas.usp.br/clinics/article/view/7214210.1590/clin.v68i3.72142Clinics; Vol. 68 No. 3 (2013); 411-418Clinics; v. 68 n. 3 (2013); 411-418Clinics; Vol. 68 Núm. 3 (2013); 411-4181980-53221807-5932reponame:Clinicsinstname:Universidade de São Paulo (USP)instacron:USPenghttps://www.revistas.usp.br/clinics/article/view/72142/75377Rezende, Marcelo Rosa deSilva, Gustavo BersaniPaula, Emygdio Jose Leomil deMattar Junior, RamesCamargo, Olavo Pires deinfo:eu-repo/semantics/openAccess2014-01-28T17:05:37Zoai:revistas.usp.br:article/72142Revistahttps://www.revistas.usp.br/clinicsPUBhttps://www.revistas.usp.br/clinics/oai||clinics@hc.fm.usp.br1980-53221807-5932opendoar:2014-01-28T17:05:37Clinics - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
What has changed in brachial plexus surgery? |
title |
What has changed in brachial plexus surgery? |
spellingShingle |
What has changed in brachial plexus surgery? Rezende, Marcelo Rosa de Brachial Plexus Nerve Transfer Microvascular Decompression Surgery Free Tissue Flaps Review |
title_short |
What has changed in brachial plexus surgery? |
title_full |
What has changed in brachial plexus surgery? |
title_fullStr |
What has changed in brachial plexus surgery? |
title_full_unstemmed |
What has changed in brachial plexus surgery? |
title_sort |
What has changed in brachial plexus surgery? |
author |
Rezende, Marcelo Rosa de |
author_facet |
Rezende, Marcelo Rosa de Silva, Gustavo Bersani Paula, Emygdio Jose Leomil de Mattar Junior, Rames Camargo, Olavo Pires de |
author_role |
author |
author2 |
Silva, Gustavo Bersani Paula, Emygdio Jose Leomil de Mattar Junior, Rames Camargo, Olavo Pires de |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Rezende, Marcelo Rosa de Silva, Gustavo Bersani Paula, Emygdio Jose Leomil de Mattar Junior, Rames Camargo, Olavo Pires de |
dc.subject.por.fl_str_mv |
Brachial Plexus Nerve Transfer Microvascular Decompression Surgery Free Tissue Flaps Review |
topic |
Brachial Plexus Nerve Transfer Microvascular Decompression Surgery Free Tissue Flaps Review |
description |
Brachial plexus injuries, in all their severity and complexity, have been extensively studied. Although brachial plexus injuries are associated with serious and often definitive sequelae, many concepts have changed since the 1950s, when this pathological condition began to be treated more aggressively. Looking back over the last 20 years, it can be seen that the entire approach, from diagnosis to treatment, has changed significantly. Some concepts have become better established, while others have been introduced; thus, it can be said that currently, something can always be offered in terms of functional recovery, regardless of the degree of injury. Advances in microsurgical techniques have enabled improved results after neurolysis and have made it possible to perform neurotization, which has undoubtedly become the greatest differential in treating brachial plexus injuries. Improvements in imaging devices and electrical studies have allowed quick decisions that are reflected in better surgical outcomes. In this review, we intend to show the many developments in brachial plexus surgery that have significantly changed the results and have provided hope to the victims of this serious injury. |
publishDate |
2013 |
dc.date.none.fl_str_mv |
2013-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/72142 10.1590/clin.v68i3.72142 |
url |
https://www.revistas.usp.br/clinics/article/view/72142 |
identifier_str_mv |
10.1590/clin.v68i3.72142 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/clinics/article/view/72142/75377 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
publisher.none.fl_str_mv |
Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo |
dc.source.none.fl_str_mv |
Clinics; Vol. 68 No. 3 (2013); 411-418 Clinics; v. 68 n. 3 (2013); 411-418 Clinics; Vol. 68 Núm. 3 (2013); 411-418 1980-5322 1807-5932 reponame:Clinics instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Clinics |
collection |
Clinics |
repository.name.fl_str_mv |
Clinics - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
||clinics@hc.fm.usp.br |
_version_ |
1800222759818625024 |