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MAJOR R. A. MENDELSOHN; I. H. WEINER, M.D.; MAJOR J. M. KEEGAN

AMA Arch Surg. 1957;75(1):102-107.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Introduction

Stretch injuries to the brachial plexus with permanent residual disability are relatively infrequent. However, each case usually results in severe functional impairment for the patient and represents a difficult problem in management for the physician. Stretch injuries of the brachial plexus are classically divided into three types: Erb-Duchenne upper type, Klumpke's lower type, and the combined type. The Erb-Duchenne type, involving the fibers derived from C-5 and C-6, usually occurs when the head is forcibly separated from the shoulder. The Klumpke type, involving C-8 and T-1 fibers, usually results from forcible hyperabduction of the upper extremity at the shoulder. The combined type may range from complete plexus involvement to the simple addition of C-7 to either of the first two types.

The term "avulsion of the brachial plexus" applies to actual separation of the nerve rootlets from the spinal cord. A presumptive diagnosis of avulsion of the brachial plexus . . . [Full Text PDF of this Article]

Author Affiliations
San Antonio, Texas; Baltimore; San Antonio, Texas

From the Neurosurgery and Radiology Services of the U. S. Air Force Hospital, Lackland Air Force Base.

Footnotes
Submitted for publication Feb. 6, 1957.

Presented at the Fourth Annual Scientific Meeting, Houston Neurological Society, Houston, Texas, March 17, 1956.

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