Work

Magnetic resonance imaging for detecting root avulsions in brachial plexus birth injuries

Year: 2025

Type: article

Abstract: INTRODUCTION: We assessed the diagnostic accuracy of 3T magnetic resonance imaging in comparison with surgical exploration for detecting root avulsion in brachial plexus birth injuries. METHODS: This retrospective cohort study describes a consecutive series of 18 infants with brachial plexus birth injuries born between January 2019 and May 2024 who had a surgical exploration of the plexus preceded by magnetic resonance imaging under the same general anaesthetic. RESULTS: The overall diagnostic accuracy of magnetic resonance imaging for detecting root avulsion(s) of C5-T1 was 68%, with 67% sensitivity and 92% specificity. It has a 'good' diagnostic accuracy for detection of root avulsion, although only a 'sufficient' sensitivity. CONCLUSION: Although useful, magnetic resonance imaging in its current form cannot be solely relied upon for clinical decision-making in brachial plexus birth injuries. LEVEL OF EVIDENCE: IV.

Source: Journal of Hand Surgery (European Volume)

DOI: 10.1177/17531934251406957

Authors: Claire M Hardie, Chiraag Karia, Ryckie G Wade, Jeannette K Kraft, Rob Bains, Grainne Bourke

Institutions: University of Leeds, Leeds Teaching Hospitals NHS Trust, Umeå University

Language: English

Topic: Nerve Injury and Rehabilitation

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $4,150