Subscribe to RSS
First Study of the Prevalence and Characterization of Brachial Plexus Injuries in GuatemalaFunding None.
Objective This study aimed to estimate the prevalence of brachial plexus injuries and to characterize clinically and epidemiologically patients with brachial plexus injury.
Materials and Methods In this cross-sectional descriptive study, 2,923 medical records of patients aged 1 to 64 years who presented at outpatient peripheral nerve unit of the Orthopedic Surgery Department of Hospital Roosevelt, Guatemala, from January 2017 to December 2017, were prospectively analyzed to identify the prevalence and factors associated with brachial plexus injuries.
Results The prevalence rate of brachial plexus injuries in patients was 5.74%. This injury is more common in men (90.5%) aged 24 to 64 years. Brachial plexus injuries occurred secondary to motorcycle accident in 72% of the cases, with the majority affecting the dominant upper extremity. In addition, 64.28% of the patients took 1 to 6 months to seek consultation, whereas only 16.07% requested medical assistance <1 month from the onset of symptoms, and this result was associated with early diagnosis and adequate recovery during follow-up. Furthermore, 66.67% presented upper brachial plexus injury with no associated fractures or vascular injury, manifesting distress while performing daily activities that required hand, arm, and elbow movements.
Conclusion The risk of suffering BPIs in Guatemala increases in economically active male patients that use motorcycles as main mode of transportation. Patients should consult immediately after injury onset to optimize management results. For this reason, hospitals must develop specialized clinical guidelines to speed up the identification and treatment of BPI injuries.
Received: 20 October 2020
Accepted: 18 February 2021
Article published online:
27 July 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
- 1 Rodríguez-Aceves C, Cárdenas-Mejía A. Oneyear experience at the General Hospital “Manuel Gea González” in nerve injuries of the upper limb and brachial plexus. Arch Neurosci 2013; 18 (03) 120-125
- 2 Garozzo D. Brachial plexus injuries, how to diagnose them and when to treat them. Orthotips Rovigo Italy 2012; 8 (01) 7-16
- 3 Vergara Amador E. Brachial plexus trauma: current concepts in surgical diagnosis and treatment. Rev Col Med Fis Rehab 2013; 23 (02) 160-169
- 4 Eser F, Aktekin LA, Bodur H, Atan C. Etiological factors of traumatic peripheral nerve injuries. Neurol India 2009; 57 (04) 434-437
- 5 Martínes F, Pinazzo S, Suarez E, Moragues R. Traumatic brachial plexus injuries in Uruguay. Clinical-epidemiological study on 50 patients. Magazine Uruguaya Med Int 2016; 3 (01) 69-75
- 6 Noland SS, Bishop AT, Spinner RJ, Shin AY. Adult traumatic brachial plexus injuries. J Am Acad Orthop Surg 2019; 27 (19) 705-716
- 7 Limthongthang R, Bachoura A, Songcharoen P, Osterman AL. Adult brachial plexus injury: evaluation and management. Orthop Clin North Am 2013; 44 (04) 591-603
- 8 Faglioni Jr W, Siqueira MG, Martins RS, Heise CO, Foroni L. The epidemiology of adult traumatic brachial plexus lesions in a large metropolis. Acta Neurochir (Wien) 2014; 156 (05) 1025-1028
- 9 Jain DK, Bhardwaj P, Venkataramani H, Sabapathy SR. An epidemiological study of traumatic brachial plexus injury patients treated at an Indian centre. Indian J Plast Surg 2012; 45 (03) 498-503
- 10 Martin E, Senders JT, DiRisio AC, Smith TR, Broekman MLD. Timing of surgery in traumatic brachial plexus injury: a systematic review. J Neurosurg 2018; 130 (04) 1-13
- 11 Li GY, Xue MQ, Wang JW, Zeng XY, Qin J, Sha K. Traumatic brachial plexus injury: a study of 510 surgical cases from multicenter services in Guangxi, China. Acta Neurochir (Wien) 2019; 161 (05) 899-906
- 12 Kaiser R, Waldauf P, Ullas G, Krajcová A. Epidemiology, etiology, and types of severe adult brachial plexus injuries requiring surgical repair: systematic review and meta-analysis. Neurosurg Rev 2020; 43 (02) 443-452