brachial plexus

Injury

Classification Leffert "OCRO"

 

I Open

 

II Closed

 

A  Supraclavicular 

- Preganglionic / Avulsion of Roots

- Postganglionic / Rupture of Trunks

 

B Infraclavicular

- cords & branches

 

C.  Post anaesthetic

 

III Radiation / Other

 

Tumour

Examination

Diagnostic Issues

 

Supraclavicular

- nerve root patterns of sensation and motor disturbance

 

Infraclavicular

- peripheral nerve root pattern / cord

 

Supraclavicular preganglionic

- dorsal scapular / long thoracic / suprascapular nerves injured

- Horner's

- lack of sensation supraclavicular

- no tinel's