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 represent the limit below which the needle must not be directed (the pleural cavity and uppermost part of the lung are located at this level). Palpation or ultrasound visualization of the subclavian artery just above the clavicle provides a useful anatomic landmark for locating the brachial plexus, which is lateral to the artery at this level. Proximity to the brachial plexus can be determined using by elicitation of a paresthesia, use of a peripheral nerve stimulator, or ultrasound guidance. Compared to the interscalene block, the supraclavicular block — despite eliciting a more complete block of the median, radial ulnar and