Diagnostic accuracy of MRI for traumatic adult brachial plexus injury: A comparison study with surgical findings

Authors

A. M. Acharya, Kasturba Medical College, Manipal
Blessin S. Cherian, Muthoot Medical Centre
Anil K. Bhat, Kasturba Medical College, Manipal

Document Type

Article

Publication Title

Journal of Orthopaedics

Abstract

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.

First Page

53

Last Page

58

DOI

10.1016/j.jor.2019.08.015

Publication Date

1-1-2020

Recommended Citation

Acharya, A. M.; Cherian, Blessin S.; and Bhat, Anil K., "Diagnostic accuracy of MRI for traumatic adult brachial plexus injury: A comparison study with surgical findings" (2020). Open Access archive. 2009.
https://impressions.manipal.edu/open-access-archive/2009