Postirradiation lesions of the brachial plexus. Results of surgical treatment

Hand Clin. 1989 Feb;5(1):23-32.

Abstract

In a series of 103 cases of postirradiation lesions of the brachial plexus operated on between 1978 and 1986--of which 60 patients have been reviewed with a follow up from 2 to 9 years--the surgical results are analyzed according to an anatomic classification, a clinical classification, and the surgical procedures. We conclude that the radiation plexitis should be treated surgically and at the earliest possible time after the onset of paresthesias. Also, the surgical procedure which gives the best results is neurolysis with pedicled omentoplasty.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Brachial Plexus / surgery*
  • Breast Neoplasms / radiotherapy
  • Female
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Neuritis / classification
  • Neuritis / etiology
  • Neuritis / surgery*
  • Radiation Injuries / classification
  • Radiation Injuries / surgery*
  • Radiotherapy / adverse effects