Traumatic upper plexus palsy: Is the exploration of brachial plexus necessary?

  • Ioannis GkiatasEmail author
  • Dimitrios Papadopoulos
  • Anastasios Korompilias
  • Marios Vekris
  • Alexandros Beris
  • Ioannis Kostas-Agnantis


Brachial plexus injuries are major injuries of the upper limb resulting in severe dysfunction usually in young patients. Upper trunk injuries of the brachial plexus account for approximately 45% of brachial plexus injuries. Treatment options for upper trunk brachial plexus injuries include exploration of the plexus and microsurgical repair using nerve grafts or nerve transfers. Several published studies presented the results of both techniques, but there are few studies which compared these two techniques. This article summarizes the treatment options for upper trunk brachial plexus injuries, discusses the merits and demerits of each technique, and presents authors’ proposed treatment for these injuries.


Upper trunk brachial plexus injuries Exploration Nerve transfers Nerve grafting 


Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.


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Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  • Ioannis Gkiatas
    • 1
    Email author
  • Dimitrios Papadopoulos
    • 1
  • Anastasios Korompilias
    • 1
  • Marios Vekris
    • 1
  • Alexandros Beris
    • 2
  • Ioannis Kostas-Agnantis
    • 1
  1. 1.Department of Orthopaedic Surgery, School of MedicineUniversity of IoanninaIoanninaGreece
  2. 2.School of MedicineUniversity of IoanninaIoanninaGreece

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