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Chapter 11 - Examination of the Brachial Plexus
- By Fazal Ali, Joe Garcia, Armughan Azhar, Simon Kay
Edited by Fazal Ali, Nick Harris
Book:

Orthopaedic Examination Techniques

Published online:

22 April 2022

Print publication:

12 May 2022, pp 193-212
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Summary

Brachial plexus examination is described in a simple manner for this difficult topic. A drawing of the brachial plexus is included, which is essential knowledge for learning to examine the brachial plexus. The system is: look, feel, move.
Inspection includes looking for Horner’s syndrome, which may indicate a preganglionic lesion. Palpation is for the presence of the pulse, sweating and the sensory testing. Motor testing is in a sequential manner whereby the examiner tests the myotomes, the muscles supplied by the branches off the roots, the muscles supplied by the branches off the trunks, the muscles supplied by the branches off the cords and then the terminal branches of the brachial plexus.
Included in the chapter is a section on how clinical examination findings influence treatment and also a section on the obstetric brachial plexus.