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CASE REPORT
Year : 2022  |  Volume : 30  |  Issue : 4  |  Page : 303-305

Rapid detecting brachial plexus injury by point-of-care ultrasonography


Department of Emergency Medicine, Chung Shan Medical University Hospital, Taichung, Taiwan

Correspondence Address:
Dr. Chia-Ching Chen
Department of Emergency Medicine, Chung Shan Medical University Hospital, Taichung
Taiwan
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmu.jmu_185_21

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Brachial plexus injury (BPI) is regarded as one of the most devastating injuries of the upper extremity. Brachial plexus neuropathy can have a high morbidity by seriously affecting the motor function and sensation of upper limbs with loss of activities of daily living. The use of computed tomography myelogram and/or magnetic resonance imaging (MRI) assessing brachial plexus offers valuable details including the location, morphology, and severity of preganglionic and postganglionic injuries during the preoperative period. High-field-strength MRI with specific coil and specialized MRI sequences might be not available in every emergency setting and is time-consuming. Point-of-care ultrasonography (POCUS) comes in handy and offers good image resolution of muscles and nerves that makes early detection of neuromuscular injury possible. Here, we present a case report of BPI that POCUS provides indirect evidence of cervical root injury and expedite time to MRI.


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