[Electromyographical and clinical follow up study of brachial plexus lesions (author's transl)]. 1977

M Straschill, and L Krapp

21 cases of brachial plexus lesions were reexamined clinically and electromyographically after a posttraumatic interval of 3 to 11 years. In accordance with Brooks (1) recovery--as judged by muscle strength, sensation and amount of EMG activity during volontary action--was relatively good in upper plexus lesions, fair in middle plexus lesions and very poor in lower plexus lesions (Fig. 1 A, B). Even in cases of incomplete lower plexus lesions with small residual innervation initially, recovery was only moderate (Fig. 1 C). The tendency for reinnervation decreased with increasing distance of target muscles from the lesion site in the plexus (Fig. 2). Motor and sensory deficits in corresponding dermaresp. myotomes were either congruent or more frequently incongruent with prevalence of motor deficits (Fig. 3). Earliest electromyographical signs of reinnervation were observed after 4 to 9 months (upper and middle plexus lesion). Reinnervation of proximal muscles was completed after 11 months to 2 years (Fig. 4). Posttraumatically regenerated nerve fibers had often decreased conduction velocities (some values as low as 7 m/sec) and showed sometimes abnormal target muscles leading to paradoxical innervation and synkinesias between antagonistic muscles.

UI MeSH Term Description Entries
D009132 Muscles Contractile tissue that produces movement in animals. Muscle Tissue,Muscle,Muscle Tissues,Tissue, Muscle,Tissues, Muscle
D009416 Nerve Regeneration Renewal or physiological repair of damaged nerve tissue. Nerve Tissue Regeneration,Nervous Tissue Regeneration,Neural Tissue Regeneration,Nerve Tissue Regenerations,Nervous Tissue Regenerations,Neural Tissue Regenerations,Regeneration, Nerve,Regeneration, Nerve Tissue,Regeneration, Nervous Tissue,Regeneration, Neural Tissue,Tissue Regeneration, Nerve,Tissue Regeneration, Nervous,Tissue Regeneration, Neural
D001917 Brachial Plexus The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon. Plexus, Brachial
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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