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Original ArticleOpen Access
Brachial Plexus Injury and Pain: Incidence and the Effects of Surgical Reconstruction
Waikakul S 
,
Waikakul W ,
Pausawasdi S
,
Waikakul W ,
Pausawasdi S A prospective study of pain after brachial plexus injury was carried out on 246 patients
with at least 2 years follow-up. All of them had closed traction injury from motorcycle accidents.
There were 16 females and 230 males aged from 16 to 44 years old. The patients' biodata, onset
of pain, characteristics of pain and treatment were recorded. Changes in pain after conservative
and operative treatment and the outcome of treatment were analysed. Two hundred and nineteen
patients (89%) had significant pain and 182 patients (74%) had severe pain. Most of them had
continuous pain with 2 to 20 peaks of severe pain per day. Crushing type of pain was the most
common but mixed type of pain caused the most distress. Conservative treatment before surgery
could relieve the pain in 39 patients ( 15.8% ). Surgical reconstruction could further relieve the pain
in 176 patients (80.36% ). However, 21 patients (8.5%) still had severe pain. Improvement in
sensory function had more effect on pain reduction than motor function.
Key word : Brachial Plexus Injury, Pain, Incidence, Effects of Surgical Reconstruction
with at least 2 years follow-up. All of them had closed traction injury from motorcycle accidents.
There were 16 females and 230 males aged from 16 to 44 years old. The patients' biodata, onset
of pain, characteristics of pain and treatment were recorded. Changes in pain after conservative
and operative treatment and the outcome of treatment were analysed. Two hundred and nineteen
patients (89%) had significant pain and 182 patients (74%) had severe pain. Most of them had
continuous pain with 2 to 20 peaks of severe pain per day. Crushing type of pain was the most
common but mixed type of pain caused the most distress. Conservative treatment before surgery
could relieve the pain in 39 patients ( 15.8% ). Surgical reconstruction could further relieve the pain
in 176 patients (80.36% ). However, 21 patients (8.5%) still had severe pain. Improvement in
sensory function had more effect on pain reduction than motor function.
Key word : Brachial Plexus Injury, Pain, Incidence, Effects of Surgical Reconstruction
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