The objective of this study was to evaluate outcomes of patients who suffered complete brachial plexus avulsion before and after nerve transfers by assessing upper extremity function and pain using the DASH and NRS questionnaires. Patients who underwent nerve transfers improved their DASH and NRS scores compared with before surgery. Although individually there was no correlation with improved scores, the triple combination of rehabilitation exercises, electrical stimulation therapy and neurotrophic drugs postoperatively correlated positively with improved functional outcomes. This study suggested a positive effect of the passage of time and nerve transfers in total brachial plexus avulsions from patients’ self assessments.
DubuissonASKlineDG. Brachial plexus injury: A survey of 100 consecutive cases from a single service. Neurosurgery. 2002, 51: 673–83.
12.
FlahertyE. How to try this: using pain-rating scales with older adults. American Journal of Nursing. 2008, 108: 40–7.
13.
GarrattASchmidtLMackintoshA. Quality of life measurement:Bibliographic study of patient assessed health outcome measures. Br Med J. 2002, 324: 1417.
14.
HudakPLAmadioPCBombadierC. Development of the upper extremity outcome measures: the DASH (disability of the arm, shoulder and hand) [corrected]. The Upper Extremity Collaborative Group (UECG). Am J Ind Med. 1996, 29: 602–8.
15.
KandenweinJAKretschmerTEngelhardtM. Surgical interventions for traumatic lesions of the brachial plexus: A retrospective study of 134 cases. J Neurosurg. 2005, 103: 614–21.
16.
KimDHChoYJTielRLKlineDG. Outcomes of surgery in 1019 brachial plexus lesions treated at Louisiana State University Health Sciences Center. J Neurosurg. 2003, 98: 1005–16.
17.
KlineDG. Perspectives concerning brachial plexus injury and repair. Neurosurg Clin N Am. 1991, 2: 151–64.
18.
KlineDGHudsonAR. Nerve injuries: operative results for major injuries, entrapments, and tumors. Philadelphia: WB Saunders. 1995, pp 345–548.
19.
KlineDGTielRL. Direct plexus repair by grafts supplemented by nerve transfers. Hand Clin. 2005, 21: 55–69, vi.
LiangMHKatzJNPhillipsC. The total hip arthroplasty outcome evaluation form of the American Academy of Orthopaedic Surgeons. Results of a nominal group process. The American Academy of Orthopaedic Surgeons Task Force on Outcome Studies. J Bone Joint Surg Am. 1991, 73: 639–46.
22.
LiebermanJRDoreyFShekelleP. Differences between patients’ and physicians’ evaluations of outcome after total hip arthroplasty. J Bone Joint Surg Am. 1996, 78: 835–8.
23.
MatsuyamaTOkuchiKAkahaneM. Clinical analysis of 16 patients with brachial plexus injury. Neurol Med Chir (Tokyo). 2002, 42: 114–22.
24.
McGillicuddyJE. Clinical decision making in brachial plexus injuries. Neurosurg Clin N Am. 1991, 2: 137–50.
25.
MidhaR. Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurgery. 1997, 40: 1182–9.
26.
MonrealR. Surgical treatment of brachial plexus injuries in adults. International Orthopaedics (SICOT). 2005, 29: 351–4.
27.
OchiaiNNaganoASugiokaHHaraT: Nerve grafting in brachial plexus injuries. Results of free grafts in 90 patients. J Bone Joint Surg Br. 1996, 78: 754–8.
28.
PonzerSNasellHBergmanBTornkvistH: Functional outcome and quality of life in patients with Type B ankle fractures: A two-year follow-up study. J Orthop Trauma. 1999. 13: 363–8.
