Page 24 - 2021 IDMT Digital
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BRACHIAL PLEXUS INJURY
Introduction:
• 7KH EUDFKLDO SOH[XV FRQVLVWV RI VHYHUDO QHUYH URRWV LQWHUWZLQHG ZLWK HDFK RWKHU
o 7KHUHIRUH DQ LQMXU\ WR WKH EUDFKLDO SOH[XV PD\ QRW ILW WKH W\SLFDO V\PSWRP SDWWHUQ
RI DQ LQGLYLGXDO QHUYH LQMXU\ DQG PD\ LQFRUSRUDWH V\PSWRPV LQ VHYHUDO
GHUPDWRPHV
• 7KH PRVW OLNHO\ FDXVH RI LQMXU\ WR WKH EUDFKLDO SOH[XV LV WUDXPD VWLQJHU RU EXUQHU
Subjective:
• 6LJQV DQG 6\PSWRPV
o 0RVW OLNHO\ RQH VLGHG
o ([WUHPLW\ SDLQ LQ DQ XQXVXDO SDWWHUQ
o 1XPEQHVV DQG WLQJOLQJ
o :HDNQHVV
• )RFXVHG +LVWRU\
o +LVWRU\ RI WUDXPD
)DOO WKDW IRUFHV KHDG DZD\ IURP VKRXOGHU
o $VVRFLDWHG V\PSWRPV LQ KDQG ZULVW RU HOERZ
Objective:
• 3K\VLFDO ([DP
o 0RWRU VHQVRU\ GHILFLWV LQ DW\SLFDO SDWWHUQ
3RVVLEO\ DIIHFWLQJ HQWLUH H[WUHPLW\
o 'LPLQLVKHG UHIOH[HV LQ DIIHFWHG OLPE
o :HDNQHVV DV FRPSDUHG WR XQDIIHFWHG VLGH
o 6FDSXODU ZLQJLQJ
o 6KRXOGHU PXVFOH DWURSK\
Assessment:
• 'LIIHUHQWLDO
o &HUYLFDO UDGLFXORSDWK\ SDLQ PD\ UDGLDWH IURP RU WR QHFN DQG VKRXOGHU
o 7UDXPD PHFKDQLVP RI DFWLRQ
Plan:
• $VVHVV IRU QHFN KHDG WUDXPD
• /LPLW OLIWLQJ
• $YRLG DJJUDYDWLQJ DFWLYLWLHV
• 16$,'V
• If certified in Battlefield Acupuncture (BFA) and with preceptor concurrence, consider
administering up to 10 treatment sessions as an alternative to NSAIDs as long as
there is clinical benefit and no worsening of the patient’s condition
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