Plexus 2 After Effects' title='Plexus 2 After Effects' />Brachial plexus block is a regional anesthesia technique that is sometimes employed as an alternative or as an adjunct to general anesthesia for surgery of the upper. The Plexus Slim side effects came slowly, but they took a hell lot more time to go away. The most horrible side effects I experienced were Heartburn. Plexus 2 After Effects' title='Plexus 2 After Effects' />Brachial plexus injury Wikipedia. A brachial plexus injury BPI, also known as brachial plexus lesion, is an injury to the brachial plexus, the network of nerves that conducts signals from the spinal cord to the shoulder, arm and hand. These nerves originate in the fifth, sixth, seventh and eighth cervical C5C8, and first thoracic T1 spinal nerves, and innervate the muscles and skin of the chest, shoulder, arm and hand. Brachial plexus injuries can occur as a result of shoulder trauma, tumours, or inflammation. 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Obstetric injuries may occur from mechanical injury involving shoulder dystocia during difficult childbirth. Traumatic injury may arise from several causes. The brachial plexus may be injured by falls from a height on to the side of the head and shoulder, whereby the nerves of the plexus are violently stretched. The brachial plexus may also be injured by direct violence or gunshot wounds, by violent traction on the arm, or by efforts at reducing a dislocation of the shoulder joint. Signs and symptomseditSigns and symptoms may include a limp or paralyzed arm, lack of muscle control in the arm, hand, or wrist, and lack of feeling or sensation in the arm or hand. Although several mechanisms account for brachial plexus injuries, the most common is nerve compression or stretch. Infants, in particular, may suffer brachial plexus injuries during delivery and these present with typical patterns of weakness, depending on which portion of the brachial plexus is involved. The most severe form of injury is nerve root avulsion, which usually accompanies high velocity impacts that commonly occur during motor vehicle collisions or bicycle accidents. DisabilitieseditBased on the location of the nerve damage, brachial plexus injuries can affect part of or the entire arm. For example, musculocutaneous nerve damage weakens elbow flexors, median nerve damage causes proximal forearm pain, and paralysis of the ulnar nerve causes weak grip and finger numbness. In some cases, these injuries can cause total and irreversible paralysis. In less severe cases, these injuries limit use of these limbs and cause pain. The cardinal signs of brachial plexus injury then, are weakness in the arm, diminished reflexes, and corresponding sensory deficits. Erbs palsy. The position of the limb, under such conditions, is characteristic the arm hangs by the side and is rotated medially the forearm is extended and pronated. The arm cannot be raised from the side all power of flexion of the elbow is lost, as is also supination of the forearm. In Klumpkes paralysis, a form of paralysis involving the muscles of the forearm and hand,9 a characteristic sign is the clawed hand, due to loss of function of the ulnar nerve and the intrinsic muscles of the hand it supplies. In most cases the nerve roots are stretched or torn from their origin, since the meningeal covering of a nerve root is thinner than the sheath enclosing the nerve. The epineurium of the nerve is contiguous with the dura mater, providing extra support to the nerve. Brachial plexus lesions typically result from excessive stretching from rupture injury where the nerve is torn but not at the spinal cord or from avulsion injuries, where the nerve is torn from its attachment at the spinal cord. A build up of scar tissue around a brachial plexus injury site can also put pressure on the injured nerve, disrupting innervation of the muscles. Although injuries can occur at any time, many brachial plexus injuries happen during birth the babys shoulders may become impacted during the birth process causing the brachial plexus nerves to stretch or tear. Obstetric injuries may occur from mechanical injury involving shoulder dystocia during difficult childbirth, the most common of which result from injurious stretching of the childs brachial plexus during birth, most often during vaginal birth, but occasionally Caesarean section. The excessive stretch results in incomplete sensory andor motor function of the injured nerve. Injuries to the brachial plexus result from excessive stretching or tearing of the C5 T1 nerve fibers. These injuries can be located in front of or behind the clavicle, nerve disruptions, or root avulsions from the spinal cord. These injuries are diagnosed based on clinical exams, axon reflex testing, and electrophysiological testing. Brachial plexus injuries require quick treatment in order for the patient to make a full functional recovery Tung, 2. These types of injuries are most common in young adult males. Traumatic brachial plexus injuries may arise from several causes, including sports, high velocity motor vehicle accidents, especially in motorcyclists, but also all terrain vehicle ATV and other accidents. Injury from a direct blow to the lateral side of the scapula is also possible. The severity of nerve injuries may vary from a mild stretch to the nerve root tearing away from the spinal cord avulsion. The brachial plexus may be injured by falls from a height on to the side of the head and shoulder, whereby the nerves of the plexus are violently stretched The brachial plexus may also be injured by direct violence or gunshot wounds, by violent traction on the arm, or by efforts at reducing a dislocation of the shoulder joint. Brachial plexus lesions can be divided into three types An upper brachial plexus lesion, which occurs from excessive lateral neck flexion away from the shoulder. Most commonly, forceps delivery or falling on the neck at an angle causes upper plexus lesions leading to Erbs palsy. This type of injury produces a very characteristic sign called Waiters tip deformity due to loss of the lateral rotators of the shoulder, arm flexors, and hand extensor muscles. Less frequently, the whole brachial plexus lesion occurs 1. C8 and first thoracic T1 nerves are injured either before or after they have joined to form the lower trunk. The subsequent paralysis affects, principally, the intrinsic muscles of the hand and the flexors of the wrist and fingers. This results in a form of paralysis known as Klumpkes paralysis. MechanismeditInjury to the brachial plexus can happen in numerous environments. Pc Football Games Full Version For Windows Xp there. These may include contact sports, motor vehicle accidents, and birth. Although these are but a common few events, there is one of two mechanisms of injury that remain constant during the point of injury. The two mechanisms that can occur are traction and heavy impact. Traction, also known as stretch injury, is one of the mechanisms that cause brachial plexus injury. The nerves of the brachial plexus are damaged due to the forced pull by the widening of the shoulder and neck. This is a closer look at the traction mechanism at the cervical spine. The arrowed red line represents the stretch of the nerves. Depending on the force, lesions may occur. Anatomyedit. This image shows the anterior view of the 5 brachial plexus nerves on the human arm. Axillary,Median,Musculocutaneous,Radial,Ulnar. The brachial plexus is made up of spinal nerves that are part of the peripheral nervous system. It includes sensory and motor nerves that innervate the upper limbs.