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Adult brachial plexus injuries: mechanism, patterns of injury, and physical diagnosis

Steven L Moran, Scott P Steinmann, Alexander Y Shin
Most brachial plexus injuries involve the entire plexus. An injury to major cords or branches often contains a mixed injury pattern, with portions of the nerve being avulsed, ruptured, or stretched. An advancing Tinel's sign implies the possibility of neurologic recovery; however, the surgeon should combine this physical finding with that of electrodiagnostic studies to assess the extent of nerve injury to allow for expedient surgical intervention when necessary.
February 2005: Hand Clinics
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