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J Korean Soc Emerg Med > Volume 17(5); 2006 > Article
Journal of The Korean Society of Emergency Medicine 2006;17(5): 500-504.
A Case of Brachial Plexus Injury Due to Physical Restraint
Yong Jin Park, Seong Jung Kim, Gwang Cheol Park
1Department of Emergency Medicine, Chosun University Hospital, Korea. ksj@chosun.ac.kr
2Department of Emergency Medicine, Hyundai Hospital, Gwangju, Korea.
ABSTRACT
The brachial plexus may be visualized simply as beginning with five nerves and terminating in five nerves. It begins with the anterior rami of C5, C6, C7, C8, and the first thoracic nerve. It terminates with the formation of the musculocutaneous, median, ulnar, axillary, and radial nerves. The anatomy of the brachial plexus can be confusing, especially because of frequent variations in the length and the caliber of each of its components. The most common type of injury is one involving a motorcycle or bicycle crash in which a forceful impact on the shoulder depresses the entire shoulder girdle and avules a portion of the plexus. The injuried area is usually the upper trunk althrough the lower trunk can be involved either in addition to or as the main site of injury. Our case involves brachial plexus injury due to physical restraint that had been used to avoid using a pharmachologic restraint.
Key words: Brachial plexus injury, Physical restraint
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