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Brain

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Submitted By ssayers
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Stefanie Rivar
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Gray’s Anatomy

Dr. Preston Burk was the patient, who came in with a gunshot wound to the right shoulder. The bullet had lodged by the spinal cord. Dr. Burk lung had collapsed. Dr. Derik Shepard had discovered an aneurism by the spine, and there is damage to the brachial plexus. Dr. Burk had numbness in his fingers and hand was cold. Dr. Shepard had to decide if he felt confidante doing the surgery on Dr. Burk. Dr. Shepard did the surgery on Dr. Burk to remove the aneurism to regain function to Dr. Burk’s right hand. There was a complication during the surgery. Dr. Burk was woken up and had to be soothed due to being in pain and the tube in his mouth. Dr. Burk was given a finger to thumb test with all four fingers to make sure that the surgery was going to be a success. Dr. Burk passed the test and his surgery was a success.
A brachial plexus is a network of nerves that sends signals from your spine to your shoulder, arm and hand. You can receive this injury by a hard blow to the shoulder, in motorcycle and automobile accidents, but are common in contact sports. Brachial plexus is torn or stretched nerves. Some symptoms that you can experience is numbness in the shoulder and arm but not the fingers, numbness in the fingers but not the arm, stingers or a burning sensation up and down your arm, total loss of movement in arm and fingers
Brachial plexus can be caused from contact sports, from the arm being stretched over the head with too much force, babies with difficult births, and automobile and motorcycle accidents.
Some complications you can experience with brachial plexus is stiff joints, numbness, and lose of feeling. Some test that can be done to diagnosis brachial plexus. MRI can show the extent of damage, and if the nerve has been severed from the spinal cord. Electromyography provides information about how well a muscle responds when its nerves are stimulated

1. Brachial plexus injury (Erb's palsy). American Society for Surgery of the Hand. http://www.assh.org/Public/HandConditions/Pages/BrachialPlexus.aspx. Accessed Nov. 22, 2010. 2. Burners and stingers. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=226&topcategory=Shoulder. Accessed Nov 22, 2010. 3. NINDS brachial plexus information page. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/brachial_plexus/brachial_plexus.htm. Accessed Nov. 22, 2010. 4. Erb's palsy (brachial plexus birth injury). American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/fact/thr_report.cfm?Thread_ID=314&topcategory=Shoulder. Accessed Nov. 22, 2010. 5. Brombert MB. Brachial plexus syndromes. http://www.uptodate.com/home/index.html. Accessed Nov. 22, 2010. 6. Sulaiman OAR, et al. Nerve transfer surgery for adult brachial plexus injury: A 10-year experience at Louisiana State University. Neurosurgery. 2009;65:A55. 7. Naoyuki O, et al. Nerve grafting in brachial plexus injuries. Journal of Bone and Joint Surgery. 1996;78:754. 8. Nerve injuries. American Academy of Orthopaedic Surgeons. http://orthoinfo.aaos.org/topic.cfm?topic=A00016. Accessed Nov. 23, 2010. 9. Guiffre JL, et al. Current concepts of the treatment of adult brachial plexus injuries. Journal of Hand Surgery American. 2010;35:1226.

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