{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T08:23:20Z","timestamp":1761294200770},"reference-count":68,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T00:00:00Z","timestamp":1602806400000},"content-version":"vor","delay-in-days":289,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Brachial Plex Peripher Nerve Inj"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Background\u2003Brachial plexopathy causes pain and loss of function in the affected extremity. Entrapment of the brachial plexus terminal branches within the surrounding connective tissue, or medial brachial fascial compartment, may manifest in debilitating symptoms. Open fasciotomy and external neurolysis of the neurovascular bundle in the medial brachial fascial compartment were performed as a surgical treatment for pain and functional decline in the upper extremity. The aim of this study was to evaluate pain outcomes after surgery in patients diagnosed with brachial plexopathy.<\/jats:p><jats:p>Methods\u2003We identified 21 patients who met inclusion criteria. Documents dated between 2005 and 2019 were reviewed from electronic medical records. Chart review was conducted to collect data on visual analog scale (VAS) for pain, Semmes-Weinstein monofilament test (SWMT), and Medical Research Council (MRC) scale for muscle strength. Pre- and postoperative data was obtained. A paired sample t-test was used to determine statistical significance of pain outcomes.<\/jats:p><jats:p>Results\u2003Pain severity in the affected arm was significantly reduced after surgery (pre: 6.4\u2009\u00b1\u20092.5; post: 2.0\u2009\u00b1\u20092.5; p\u2009&lt;\u20090.01). Additionally, there was an increased response to SWMT after the procedure. More patients achieved an MRC rating score \u22653 and \u22654 in elbow flexion after surgery. This may be indicative of improved sensory and motor function.<\/jats:p><jats:p>Conclusion\u2003Open fasciotomy and external neurolysis at the medial brachial fascial compartment is an effective treatment for pain when nerve continuity is preserved. These benefits were evident in patients with a prolonged duration elapsed since injury onset.<\/jats:p>","DOI":"10.1055\/s-0040-1716718","type":"journal-article","created":{"date-parts":[[2020,10,16]],"date-time":"2020-10-16T23:22:58Z","timestamp":1602890578000},"page":"e22-e32","source":"Crossref","is-referenced-by-count":7,"title":["Pain Relief after Surgical Decompression of the Distal Brachial Plexus"],"prefix":"10.1055","volume":"15","author":[{"given":"Richard","family":"Morgan","sequence":"additional","affiliation":[{"name":"Department of Physical Medicine & Rehabilitation, Larkin Community Hospital, Miami, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iain","family":"Elliot","sequence":"additional","affiliation":[{"name":"Department of Orthopedics and Sports Medicine, University of Washington, Seattle, Washington, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vibhu","family":"Banala","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Montefiore Medical Center, Bronx, New York, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher","family":"Dy","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Washington University, School of Medicine, St. Louis, Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Briana","family":"Harris","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Miami Orthopedics and Sports Medicine Institute, Baptist Health Medical Group South Florida, Miami, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth Anne","family":"Ouellette","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Miami Orthopedics and Sports Medicine Institute, Baptist Health Medical Group South Florida, Miami, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,10,16]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"1025","DOI":"10.1007\/s00701-013-1948-x","article-title":"The epidemiology of adult traumatic brachial plexus lesions in a large metropolis","volume":"156","author":"W Faglioni Jr","year":"2014","journal-title":"Acta Neurochir (Wien)"},{"issue":"06","key":"ref2","doi-asserted-by":"crossref","first-page":"1182","DOI":"10.1097\/00006123-199706000-00014","article-title":"Epidemiology of brachial plexus injuries in a multitrauma population","volume":"40","author":"R Midha","year":"1997","journal-title":"Neurosurgery"},{"key":"ref3","first-page":"S1","article-title":"Classification of chronic pain. 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