Abstract

The brachial plexus is a collection of peripheral nerves, the complexity of which dictates slow, unpredictable and sometimes confused recovery after injury; surgical repair should therefore form part of an integrated overall plan for repair of the limb. This may also include tendon transfers, osteotomies, arthrodesis and possibly muscle autotransplantation (see later). The structure of the brachial plexus determines the: • pattern and pathology of injury • clinical and diagnostic findings • surgical options available for treatment. These three topics form the basis for the rest of this contribution. This article should be read in conjunction with ‘Peripheral nerve disorders’, page 259, and ‘Physiology of the peripheral nerve system’, page 264a.

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