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Muscle Nerve. 2019 Jun;59(6):707-711. doi: 10.1002/mus.26461. Epub 2019 Mar 19.

Ultrasound imaging of brachial plexus trauma in gunshot injury.

Author information

1
Department of Radiology and Imaging, Hospital for Special Surgery, 535 East 70th Street, New York, New York, 10021, USA.
2
Department of Orthopedic Surgery, Hospital for Special Surgery, 535 E 70th Street, New York, New York 10021, USA.
3
Department of Physiatry, Hospital for Special Surgery, 535 E 70th Street, New York, New York 10021, USA.

Abstract

INTRODUCTION:

Brachial plexus trauma related to gunshot (GS) injury requires early examination and characterization to ensure appropriate treatment. Magnetic resonance imaging (MRI) may be contraindicated when there are metal fragments in a patient's body. Ultrasound (US) may present an alternative to imaging GS-related brachial plexus injury.

METHODS:

Three patients with GS-related brachial plexus injury who underwent US imaging evaluation at our institution were identified. A retrospective review of the patients' medical records was performed.

RESULTS:

US characterization of nerve abnormalities after GS injury to the brachial plexus was in agreement with electrodiagnostic and intraoperative findings.

DISCUSSION:

Information from the US reports was useful in preparation for brachial plexus reconstruction surgery. As such, US has unique utility when MRI cannot be performed. US imaging can provide useful characterization of the brachial plexus after GS injury when performed by an experienced operator. Muscle Nerve 59:707-711, 2019.

KEYWORDS:

brachial plexus injury; gunshot wound; imaging; nerve trauma; neurosonology; ultrasound

PMID:
30847944
DOI:
10.1002/mus.26461

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