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Journal of Bone and Joint Surgery - British Volume, Vol 88-B, Issue 6, 756-759.
doi: 10.1302/0301-620X.88B6.16995  
Copyright © 2006 by British Editorial Society of Bone and Joint Surgery
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The effects of operative delay on the relief of neuropathic pain after injury to the brachial plexus

A REVIEW OF 148 CASES

N. Kato, MD, Orthopaedic Surgeon1; M. Htut, MRCP, Neurophysician2; M. Taggart, RGN, RSCN, Research Co-ordinator2; T. Carlstedt, MD, PhD, FRCS, Professor2; and R. Birch, MChirm FRCS, Professor2

1 Department of Orthopaedic Surgery, National Defense Medical College, Tokorozawa, Saitama, 359-8513, Japan.
2 Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK.

Correspondence should be sent to Professor R. Birch; e-mail: Benita.patel{at}rnoh.nhs.uk

We investigated the effect of delay before nerve repair on neuropathic pain after injury to the brachial plexus. We studied 148 patients, 85 prospectively and 63 retrospectively. The mean number of avulsed spinal nerves was 3.2 (1 to 5). Pain was measured by a linear visual analogue scale and by the peripheral nerve injury scale. Early repair was more effective than delayed repair in the relief from pain and there was a strong correlation between functional recovery and relief from pain.






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