Neuromuscular DiseasesNeuromuscular DiseasesНервно-мышечные болезни2222-87212413-0443Publishing House ABV Press3710.17650/2222-8721-2013-0-1-18-25LECTURES AND REVIEWSЛЕКЦИИ И ОБЗОРЫTraumatic injuries of brachial plexus: present methods of surgical treatment Part II. Treatment policy for brachial plexus injuriesТравматические повреждения плечевого сплетения: современные способы хирургической коррекции. Часть II. Тактика лечения повреждений плечевого сплетенияNovikovM. L.НовиковМ. Л.
Russian Federation
novik6923@gmail.comTornoT. E.ТорноТ. Э.
Russian Federation
N.V. Solovyev Clinical Hospital for Emergency Medical Care, YaroslavlКлиническая больница скорой медицинской помощи им. Н.В. Соловьева, Ярославль190520133118251902201519022015Copyright ©; 2013, Novikov M.L., Torno T.E.Copyright ©; 2013, Новиков М.Л., Торно Т.Э.2013Novikov M.L., Torno T.E.Новиков М.Л., Торно Т.Э.https://creativecommons.org/licenses/by/4.0https://nmb.abvpress.ru/jour/article/view/37

The task of this paper is to familiarize practicing neurologists, neurosurgeons, traumatologists, and orthopedists with the current principles of diagnosis and treatment of different brachial plexus (BP) injuries. Part I describes the anatomy of BP in detail, considers the main mechanisms of its injuries, and gives their current classification (Nervno-Myshechnye Bolezni (Neuromuscular Diseases) 2012;4:19–27).Part II presents the author's approach to treatment of brachial plexus injuries according to the type of lesion and period of denervation: nonoperative methods; rehabilitation; preoperative management; indications for surgical treatment. The tactics and techniques of primary brachial plexus reconstructions are discussed in detail.

Задача настоящей публикации – познакомить практикующих неврологов, нейрохирургов, травматологов и ортопедов с современ ны ми принципами диагностики и лечения различных повреждений плечевого сплетения (ПС). В части I была подробно описана анатомия ПС, рассматривались основные механизмы его повреждения, была дана их современная классификация (Нервно-мышечные болезни 2012;4:19–27). В части II рассматриваются возможные варианты лечения пациентов на всех этапах оказания медицинской помощи: определение показаний для консервативного или хирургического лечения, предоперационное ведение, реабилитационное лечение. Подробно раз бираются тактика и техника первичных хирургических реконструкций.

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