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    Brachial Plexus Injuries

    • BPI Introduction
    • Management of BPI
    • THORACIC OUTLET SYNDROME
    • OBSTETRIC BPI

    BPI Introduction

    ‣
    Picture of clawed Hand. What is this?
    ‣
    Can you draw the Brachial plexus?
    ‣
    What is the anatomy of Brachial plexus in relation to the clavicle and muscles?
    ‣
    What are clues to the level on inspection only?
    ‣
    How do you determine pre or post ganglionic?
    ‣
    How can history help?
    ‣
    What bedside tests can you do to assess autonomic function?
    ‣
    What XR do you want? XR Features?
    ‣
    MRI scan?
    ‣
    Nerve conduction studies?
    ‣
    EMG studies?
    ‣
    When will you do the investigations?
    ‣
    What is the gold standard to determine pre or post ganglionic?
    ‣
    How to classify Brachial plexus Injuries?
    ‣
    What are the poor prognostic factors of BPI?

    Management of BPI

    ‣
    What is the timing of surgical intervention?
    ‣
    What are the features of reinnervation?
    ‣
    What are the treatment goals?
    ‣
    What is the nerve reconstruction ladder?
    ‣
    Which Nerve transfers (more commonly done now as better outcomes than nerve grafting) for which joint?
    ‣
    Management of Neurologic pain?
    ‣
    What are the common tendon transfers used in BPI?
    ‣
    Do you know a classic Functional Free Muscle Transplantation (FFMT) used in Brachial plexus injury?
    ‣
    What other options of management?

    THORACIC OUTLET SYNDROME

    ‣
    What are the boundaries of the Thoracic Outlet?
    ‣
    What are the causes of TOS?
    ‣
    What are the types of TOS?
    ‣
    What is a clinical test you can do?
    ‣
    Management?

    OBSTETRIC BPI

    ‣
    What differentials?
    ‣
    Risk factors for Obstetric BPI?
    ‣
    Classification for obstetric BPI?
    ‣
    How will you clinically assess?
    ‣
    What is the prognosis?
    ‣
    What are good prognostic factors? Poor prognostic factors?
    ‣
    What are the long term sequelae of obstetric BPI?
    ‣
    Management?
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