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《Journal of Shanghai Medica(University)》 2005-06
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Diagnosis and Treatment of the Compression of Both Brachial Plexus and Radial Nerve in Upper Arm

LIN Hao-dong, CHEN De-song, FANG You-sheng, GU Yu-dong (Department of Hand Surgery, Huashan Hospital,Fudan University, Shanghai 200040,China)  
Purpose To discuss the diagnosis and treatment of the compression of both brachial plexus and radial nerve in upper arm. Methods Sixteen patients with compression of both brachial plexus and radial nerve in upper arm found from January 2002 to January 2005 were treated in our department. Local blockage to the point of tenderness at neck and up arm was done in all the 16 cases.Because of persisted symptoms 7 patients were operated,4 cases released of brachial plexus simply,3 cases released not only brachial plexus but also radial nerve in upper arm. Results Follow up was 6 months to 3 years.According to assessment standard described by Chen, treatment outcome was excellent in 7 case, good in 8 case, poor in 1 case. Conclusions Brachial plexus and radial nerve in upper arm can be both compressed at the same time. Once the diagnosis is made,local blockage at the neck and up arm is recommended.Operation is indicated in case conservative treatment do not work,and brachial plexus can be released first.
【Fund】: 卫生部临床重点学科项目(20011524)
【CateGory Index】: R651.3
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