TY - JOUR
T1 - Diagnostic accuracy of MRI for traumatic adult brachial plexus injury
T2 - A comparison study with surgical findings
AU - Acharya, A. M.
AU - Cherian, Blessin S.
AU - Bhat, Anil K.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - We studied the diagnostic accuracy of MRI in 35 adult patients with traumatic brachial plexus injury in comparison with intra operative findings. The overall sensitivity to detect root avulsions was 39% and specificity was 75%. MRI was more useful in the diagnosis of lower root avulsions. At trunk and division level injuries, the sensitivity was 87% but specificity was only 26%. It was not able to differentiate the type and extent of post-ganglionic injuries. The accuracy of pseudomeningocele as avulsion on surgical finding was 96% (27/28). Pseudomeningocele correlates well with root avulsions. Its presence warrants early referral and surgical exploration.
AB - We studied the diagnostic accuracy of MRI in 35 adult patients with traumatic brachial plexus injury in comparison with intra operative findings. The overall sensitivity to detect root avulsions was 39% and specificity was 75%. MRI was more useful in the diagnosis of lower root avulsions. At trunk and division level injuries, the sensitivity was 87% but specificity was only 26%. It was not able to differentiate the type and extent of post-ganglionic injuries. The accuracy of pseudomeningocele as avulsion on surgical finding was 96% (27/28). Pseudomeningocele correlates well with root avulsions. Its presence warrants early referral and surgical exploration.
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U2 - 10.1016/j.jor.2019.08.015
DO - 10.1016/j.jor.2019.08.015
M3 - Article
AN - SCOPUS:85075855822
SN - 0972-978X
VL - 17
SP - 53
EP - 58
JO - Journal of Orthopaedics
JF - Journal of Orthopaedics
ER -