Diagnostic localization value of electrodiagnosis in traumatic brachial plexus injuries
Main Article Content
Keywords
Abstract
Objective: To identify the diagnostic localization value of electrodiaglosis in traumatic brachial plexus injuries. Subject and method: The study was performed on 40 patients suspected brachial plexus lesions from May 2015 to February 2017. All patients were assessment by electrodiagnosis, the results were compare with the diagnosis by surgery. It is a prospective, cross-sectional descriptive study. Result: Electrodiagnosis had high sensitivity and specificity as 100% in diagnos C5, C6 lesions. Diagnosis of C8, T1 lesions had 100% sensivity and a litter bit lower specificity as 92.6% and 88.2%, respectively. The lowest sensitivity and specificity were 88.5% and 85.7% of C7 injury dianosis. The corresponding inter-rater reliability between electrodiagnosis and diagnosis by surgery of C5/C6/C7/C8/T1 lesions were 0.32/0.47/0.57/0.84/0.71 with p<0.05, represent for moderate to near perfect agreement. Conclusion: Electrodiagnosis is a valuable funtional examination in diagnostic localization of traumatic brachial plexus injuries.
Keywords: Electrodiagnosis, traumatic brachial plexus injuries, diagnosis localization.
Article Details
References
2. Cho Álvaro Baik, Guerreiro Ana Claudia et al (2020) Epidemiological study of traumatic brachial plexus injuries. Acta ortopedica brasileira 28(1): 16-18.
3. Harper CM (2005) Preoperative and intraoperative electrophysiologic assessment of brachial plexus injuries. Hand Clin 21(1): 39-46.
4. Limthongthang R, Bachoura A et al (2013) Adult brachial plexus injury: evaluation and management. Orthop Clin North Am 44 (4): 591-603.
5. Mansukhani KA (2013) Electrodiagnosis in traumatic brachial plexus injury. Annals of Indian Academy of Neurology 16 (1): 19-25.
6. Midha R (1997) Epidemiology of brachial plexus injuries in a multitrauma population. Neurosurgery, 40 (6): 1182-1188; discussion 1188-1189.
7. Vargas MI, Beaulieu J et al (2007) Clinical findings, electroneuromyography and MRI in trauma of the brachial plexus. J Neuroradiol 34 (4): 236-242.
8. Vredeveld JW, Slooff BC et al (2001) Validation of an electromyography and nerve conduction study protocol for the analysis of brachial plexus lesions in 184 consecutive patients with traumatic lesions. J Clin Neuromuscul Dis 2 (3): 123-128.