Elective amputation of the upper limb is an option in the treatment of traumatic injuries of the brachial plexus?
| Autor: | Carlos Otto Heise, Roberto S. Martins, Mario G. Siqueira, Luciano Foroni |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty dor por deaferentação medicine.medical_treatment membros artificiais artificial limbs Multidisciplinary team Amputation Surgical extremidade superior neuropatias do plexo braquial lcsh:RC321-571 Upper Extremity 03 medical and health sciences 0302 clinical medicine amputation upper extremity Humans Medicine Brachial Plexus Upper limb amputation Brachial Plexus Neuropathies lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry brachial plexus neuropathies Brachial Plexus Neuropathy Pain Measurement 030222 orthopedics Palsy business.industry Plastic Surgery Procedures Artificial limbs Surgery medicine.anatomical_structure Neurology Amputation Elective Surgical Procedures Arm amputação Upper limb Neurology (clinical) business Brachial plexus 030217 neurology & neurosurgery |
| Zdroj: | Arquivos de Neuro-Psiquiatria v.75 n.9 2017 Arquivos de neuro-psiquiatria Academia Brasileira de Neurologia instacron:ABNEURO Arquivos de Neuro-Psiquiatria, Vol 75, Iss 9, Pp 667-670 Arquivos de Neuro-Psiquiatria, Volume: 75, Issue: 9, Pages: 667-670, Published: SEP 2017 |
| ISSN: | 0004-282X |
| DOI: | 10.1590/0004-282x20170096 |
| Popis: | The treatment of complete post-traumatic brachial plexus palsy resulting in a flail shoulder and upper extremity remains a challenge to peripheral nerve surgeons. The option of upper limb amputation is controversial and scarcely discussed in the literature. We believe that elective amputation still has a role in the treatment of select cases. The pros and cons of the procedure should be intensely discussed with the patient by a multidisciplinary team. Better outcomes are usually achieved in active patients who strongly advocate for the procedure.Keywords: brachial plexus neuropathies; amputation; upper extremity; artificial limbs RESUMO O tratamento das paralisias completas apos lesoes traumaticas do plexo braquial que resultam em um membro superior completamente paralisado permanecem como um desafio aos cirurgioes de nervos perifericos. A opcao de amputar o membro superior e controversa e raramente discutida na literatura. Acreditamos que a amputacao eletiva ainda tem utilidade no tratamento de casos selecionados. Os pros e contras do procedimento devem ser intensamente discutidos com o paciente por uma equipe multidisciplinar. Os melhores resultados sao geralmente obtidos em pacientes atuantes que reivindicam vigorosamente o procedimento.Palavras-chave: neuropatias do plexo braquial; amputacao; extremidade superior; dor por deaferentacao; membros artificiais |
| Databáze: | OpenAIRE |
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