Brachial Plexus Injuries - Management скачать в хорошем качестве

Brachial Plexus Injuries - Management

🎥 Mastering Brachial Plexus Injuries | Orthopaedic Lecture by Dr. Hammad Haider Struggling with the complexities of medical concepts? sqadia.com is here to help! Our platform offers comprehensive medical lectures covering the entire MBBS syllabus. In this video, Orthopaedic Surgeon Dr. Hammad Haider delivers an in-depth lecture on Brachial Plexus Injuries, covering everything from types and lesions to management, obstetrical palsy, nerve impairment, and forelimb nerve injuries. ▬ 🩺 Section 1: Types & Lesions of Brachial Plexus Injuries ▬▬▬▬▬▬▬▬▬▬ 🔵 Anatomy: The brachial plexus is formed by nerve roots from C5 to T1. 🔵 Types of Injuries: 📍Supraclavicular Lesions 📍Infraclavicular Lesions 📍Clavicle Fractures 🔵 Clinical Features: High-energy injuries, arterial rupture, and neurological dysfunction. 🔵 Upper Plexus Injuries: Paralysis of shoulder abductors, external rotators, and forearm supinators. 🔵 Preganglionic vs. Postganglionic Lesions: Irreparable vs. potentially recoverable. ▬ 🔧 Section 2: Management of Brachial Plexus Injuries ▬▬▬▬▬▬▬▬▬▬ 🟢 Surgical Exploration: Identifies patterns of injury (e.g., C5,6 avulsion, C7,8,T1 rupture). 🟢 Nerve Grafting: Effective for restoring shoulder and elbow function. 🟢 Nerve Transfer: An alternative for providing functioning axons. 🟢 Early Intervention: Best results are achieved with prompt surgical repair. ▬ 👶 Section 3: Obstetrical Brachial Plexus Palsy ▬▬▬▬▬▬▬▬▬▬ 🟡 Causes: Excessive traction during childbirth. 🟡 Types: 🔹Erb’s Palsy: Injury to C5, C6 (sometimes C7). 🔹Klumpke’s Palsy: Injury to C8 and T1. 🔹Total Plexus Injury: Flail arm with complete paralysis. 🟡 Narakas Classification: 🔹Group 1: C5, C6 injury (shoulder and supinator paralysis). 🔹Group 2: Additional wrist and finger extensor paralysis. 🔹Group 3: Flaccid paralysis. 🔹Group 4: Flaccid paralysis with Horner’s sign. ▬ 🩸 Section 4: Nerve Impairment ▬▬▬▬▬▬▬▬▬▬ 🔴 Brachial Neuritis: Inflammatory condition of the upper brachial plexus. 🔴 Long Thoracic Nerve: Paralysis of the serratus anterior, causing scapular winging. 🔴 Spinal Accessory Nerve: Supplies sternomastoid and trapezius muscles; injury leads to scapular winging and reduced trapezius mass. 🔴 Suprascapular & Axillary Nerves: Arise from the brachial plexus, affecting shoulder function. ▬ 💪 Section 5: Forelimb Nerve Injuries ▬▬▬▬▬▬▬▬▬▬ 🟤 Radial Nerve: ▪️Low Lesions: Caused by elbow fractures or dislocations. ▪️High Lesions: Result from humerus fractures or shoulder trauma. ▪️Treatment: Grafting, splints, and internal fixation. 🟤 Ulnar Nerve: ▪️Low Lesions: Often due to cuts or lacerations. ▪️High Lesions: Associated with elbow fractures. ▪️Treatment: Suture or grafting. 🟤 Median Nerve: ▪️Common Injuries: Near the wrist or forearm. ▪️Treatment: Suture or grafting with postoperative wrist splinting. 📚 Simplify Your Medical Learning with sqadia.com! This lecture is a goldmine for MBBS students and professionals seeking a clear, detailed understanding of Brachial Plexus Injuries. Don’t miss out on this expert guidance by Dr. Hammad Haider! 🔔 Subscribe to sqadia.com for more expert medical lectures! #BrachialPlexus #Orthopaedics #MedicalEducation #NerveInjuries #MBBS #DrHammadHaider #MedicalStudents