Complete rupture of brachial plexus

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Inability to move left upper limb following a road traffic accident.

Patient Data

Age: 25 years
Gender: Male
This study is a stack
Coronal
STIR
This study is a stack
Coronal
STIR
This study is a stack
Coronal
STIR
This study is a stack
Coronal
T1
This study is a stack
Axial
STIR
This study is a stack
Sagittal
T2
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Info

Complete discontinuity of left brachial plexus is seen at the level of trunks with retraction, thickening of distal nerves. Oedema and haematoma is seen within interscalene triangle.

Oedema and hyperintensity is seen in left supraspinatus and infraspinatus muscles suggesting subacute denervation oedema.
Fractures of multiple spinous processes is seen with oedema involving posterior
paraspinal muscles, more on right side. 
Fracture of left mid clavicle is seen with small displaced intervening bone fragment and surrounding soft tissue oedema.

Case Discussion

This would require surgical grafting and recovery may not be complete.

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