Brachial Plexus and Peripheral Nerves Injuries Based on Etiology and Site

Objective; To determine the brachial plexus and peripheral nerves injuries based on etiology and site.Materials and Methods: This prospective observational study was conducted at neurosurgery department of lady Reading hospital Peshawar from 1st January 2011 to 30th June 2012 with total 1½ year duration. After taking consent from ethical research committee operative records of all those patients were started to document who were admitted in the mentioned duration with brachial plexus and peripheral nerves injuries and documentation was done according to the preformed proforma including age, sex, etiology, type of nerve, site of injury according to operative findings while excluding neuropathies due to compression, metabolic, immunologic causes. Data was analyzed from different angles by SPSS software.Results: Total 36 patients were included in this study in which 28 were males and 8 were females having age distribution of 10 in first 2 decades, 14 in 3rd decade and remaining 12 patients in 4th – 7th decades. Among 36 cases of peripheral nerves injuries 22 were in upper limbs, 12 in lower limbs and right and left side distribution was equal while the most common cause was fire arm injuries followed by injuries due to the sharp objects .Based on location and nerve involvement the ulnar nerve injury at the wrist joint was most common followed by common peroneal nerve injury at popliteal fossa then sciatic nerve at gluteal region.Conclusion: Brachial plexus and peripheral nerves injuries occurs mostly due to FAI and sharp objects. in upper limbs Ulnar nerve at wrist joint while in lower limbs common peroneal nerve at popliteal fossa are most commonly injured.

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