CASE REPORT |
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Year : 2022 | Volume
: 30
| Issue : 4 | Page : 303-305 |
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Rapid detecting brachial plexus injury by point-of-care ultrasonography
Cheng-Hsun Chuang, Chao-Yen Huang, Sai-Wai Ho, Chia-Ching Chen
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
 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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