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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 5, 637-641.
doi: 10.1302/0301-620X.88B5.17175  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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Combined injuries of the brachial plexus and spinal cord

S. Akita, MD, PhD, Orthopaedic Surgeon1; E. Wada, MD, PhD, Orthopaedic Surgeon2; and H. Kawai, MD, PhD, Orthopaedic Surgeon, Director2

1 Department of Orthopaedic Surgery, National Hospital Organisation, Osaka Minami Medical Centre, 2-1 Kidohigashi, Kawachinagano, Osaka 586-8521, Japan.
2 Department of Orthopaedic Surgery, Hoshigaoka Koseinenkin Hospital, 4-8-1 Hoshigaoka, Hirakata, Osaka 573-8511, Japan.

Correspondence should be sent to Dr S. Akita; e-mail: akita{at}eos.ocn.ne.jp

A total of 11 patients with combined traumatic injuries of the brachial plexus and spinal cord were reviewed retrospectively. Brachial plexus paralysis in such dual injuries tends to be diagnosed and treated late and the prognosis is usually poor. The associated injuries, which were all on the same side as the plexus lesion, were to the head (nine cases), shoulder girdle (five), thorax (nine) and upper limb (seven). These other injuries were responsible for the delayed diagnosis of brachial plexus paralysis and the poor prognosis was probably because of the delay in starting treatment and the severity of the associated injuries. When such injuries are detected in patients with spinal cord trauma, it is important to consider the possibility of involvement of the brachial plexus.






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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General