Brachial plexus injury Brachial plexus injury A brachial plexus injury (BPI), also known as brachial plexus lesion, is an injury to the brachial plexus, the network of nerves that conducts signals from the spinal cord to the shoulder, arm and hand. These nerves originate in the fifth, sixth, seventh and eighth cervical (C5–C8), and first thoracic (T1) spinal nerves, and innervate the muscles and skin of the chest, shoulder, arm and hand. Brachial plexus injuries can occur as a result of shoulder trauma, tumours, or inflammation. The rare Parsonage-Turner Syndrome causes brachial plexus inflammation without obvious injury, but with nevertheless disabling symptoms. But
Brachial plexus block anesthetic close to this artery frequently leads to a good block of the brachial plexus. The axillary block is commonly performed due to its ease of performance and relatively high success rate. Disadvantages of the axillary block include inadequate anesthesia in the distribution of the musculocutaneous nerve. This nerve supplies motor function to the biceps, brachialis, and coracobrachialis muscles and one of its branches supplies sensation to the skin of the forearm. If the musculocutaneous nerve is missed, it may be necessary to block this nerve separately. This can be accomplished by using a peripheral nerve stimulator to identify the