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• W2276945650 abstract "The aim of this study was to describe the mechanisms involved in stretch injuries of the brachial plexus. One hundred and fifty consecutive patients with supraclavicular brachial plexus injuries (BPI) were asked about the mechanism of injury during the actual injury event, particularly about the type of trauma to their shoulder, shoulder girdle and head. Fifty-seven of the patients provided enough information about their accident to allow for analysis of the shoulder trauma. The injury mechanism for all patients having upper root or total palsy (n = 46) was described as a direct vertical impact to the shoulder. In 44 of these patients, the trauma followed a motorcycle accident and, in most of them, the patient hit a fixed vertical structure before falling to the ground. The injury mechanism for the lower root palsy cases (n = 11) was variable. The most frequent mechanism was forceful anterior shoulder compression by a car seat belt. We found that injury mechanisms differed significantly from the ones commonly discussed in published studies. Notre objectif était de décrire les mécanismes impliqués dans les lésions supraclaviculaires étendues du plexus brachial. Cent cinquante patients consécutifs avec lésion supraclaviculaire du plexus brachial (LSCPB) ont été interrogés concernant le mécanisme au moment de l’épisode traumatique pour décrire le type et le moment du traumatisme au niveau de l’épaule, la ceinture scapulaire et de la tête. Le mécanisme traumatique impliqué pour tous les patients ayant une paralysie des racines supérieures ou une paralysie totale (n = 46) a été décrit comme un impact direct vertical à l’épaule. Chez 44 de ces patients, le traumatisme faisait suite à un accident de moto et, dans la plupart d’entre eux, il y a d’abord eu un impact contre une structure verticale avant la chute sur le sol. Les mécanismes traumatiques impliqués dans les paralysies des racines inférieures (n = 11) étaient variables. Le mécanisme le plus fréquent était une forte compression antérieure de l’épaule par la ceinture de sécurité de la voiture. Nous avons constaté que les mécanismes traumatiques diffèrent sensiblement de ceux jusqu’alors acceptés par la littérature." @default.
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• W2276945650 date "2016-02-01" @default.
• W2276945650 modified "2023-09-28" @default.
• W2276945650 title "Injury mechanisms in supraclavicular stretch injuries of the brachial plexus" @default.
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• W2276945650 doi "https://doi.org/10.1016/j.hansur.2015.09.001" @default.
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