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Tokai J. Exp. Clin. Med. · Mar 2007
Case ReportsBilateral brachial plexus palsies due to malpositioning after burn injury.
- Takashi Kasahara, Minoru Toyokura, Kaoru Furuno, and Akira Ishida.
- Department of Rehabilitation Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan. rehadell@m.med.u-tokai.ac.jp
- Tokai J. Exp. Clin. Med. 2007 Mar 20; 32 (1): 1-5.
AbstractWe reported a case of a 62-year-old man who sustained bilateral brachial plexus palsies resulting from malpositioning while being restrained due to agitation after burn injury. According to the clinical and EMG findings, we selected conservative treatment with rehabilitative intervention. Approximately 1 year after the injury, the patient became able to eat meals, dress himself, and use the toilet independently. To prevent brachial plexus injury in the supine position, the arms should be abducted and flexed to less than 90°. Clinicians should be vigilant regarding positioning when patients must be restrained.
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