What has changed in brachial plexus surgery?

Detalhes bibliográficos
Autor(a) principal: Rezende, Marcelo Rosa de
Data de Publicação: 2013
Outros Autores: Silva, Gustavo Bersani, Paula, Emygdio Jose Leomil de, Mattar Junior, Rames, Camargo, Olavo Pires de
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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spelling 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
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