Article

Reported here is a 30-year-old man who was seen because of pain and weakness in
the upper extremities after a tractional injury. Physical examination revealed
significant atrophy in the left deltoid and right intrinsic hand muscles,
generalized hypoesthesia, decreased deep tendon reflexes bilaterally, and
decreased strength in various muscle groups. Roos (right) and hyperabduction
(bilateral) tests were positive. Electrodiagnostic studies were consistent with
bilateral brachial plexopathy. Cervical radiographs showed long transverse
process of C7 on the right side and a small rudimentary rib articulating with C7
on the left side. Brachial plexus magnetic resonance imaging demonstrated an
aberrant muscle and compressive brachial plexus injury on the left side. Surgery
via transaxillary approach was performed on the left side. The occurrence of
traumatic brachial plexopathy in the presence of underlying thoracic outlet
syndrome and subclavius posticus muscle is discussed for the first time in the
literature.
CI - Copyright 2010 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS