Complex Nerve Reconstruction

Brachial Plexus Consultation

Expert evaluation and advanced microsurgical reconstruction for severe nerve network injuries affecting the shoulder, arm, and hand.

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Doctor examining patient with brachial plexus injury

The Control Center of the Arm

The brachial plexus is a complex, vital network of nerves that originates in the spinal cord of the neck and travels down into the arm. It acts as the primary communication pathway between the brain and the upper extremity, controlling all movement and sensation in the shoulder, elbow, wrist, and hand.

When this network is stretched, torn, or avulsed (pulled entirely away from the spinal cord) due to high-energy trauma, the resulting communication loss can cause a completely paralyzed, "flail" arm, accompanied by a total loss of feeling and, in many cases, severe neuropathic pain.

Anatomical diagram of the brachial plexus nerve network

Causes & Symptoms of Injury

Because the brachial plexus is shielded by the shoulder and collarbone, it takes significant force to injure these thick nerve trunks. Common causes include:

  • High-Energy Trauma: Motorcycle accidents, high-speed collisions, or severe falls where the head and shoulder are violently pushed in opposite directions.
  • Birth Injuries (Obstetrical Brachial Plexus Palsy): Stretching of an infant's neck during a difficult delivery (often resulting in Erb's Palsy).
  • Penetrating Trauma: Deep stab or gunshot wounds to the neck or shoulder region.
Demonstration of brachial plexus injury mechanisms and symptoms

Advanced Reconstructive Microsurgery

Brachial plexus reconstruction is one of the most highly specialized fields in orthopaedics. With advanced training from world-renowned institutions like Ganga Hospital and NUH Singapore, Dr. Vinit Arora executes complex, multi-stage surgeries to restore function:

  • Nerve Grafting: Bridging the gap of a torn nerve using healthy donor nerves (usually taken from the leg) to allow nerve fibers to regrow down to the muscle.
  • Nerve Transfers: Taking a redundant, working nerve from nearby (like a rib or chest nerve) and plugging it directly into the paralyzed nerve to "reboot" the muscle.
  • Muscle & Tendon Transfers: Moving healthy muscles to replace those that have permanently atrophied, restoring critical functions like bending the elbow or gripping.
Nerve transfer and grafting techniques for brachial plexus reconstruction

Do Not Delay Intervention.

Time is the most critical factor in brachial plexus injuries. If surgery is delayed too long (typically beyond 3 to 6 months), the denervated muscles may undergo irreversible atrophy, making nerve repair impossible. Schedule an urgent evaluation today.

Clinic OPD Timings Mon - Sat: 6:00 PM - 7:00 PM
Sunday: 11:00 AM - 1:00 PM
Visit Us 22-A-18, Opp. NRI Colony, Near K.S. Paradise,
Pratap Nagar, Jaipur

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