Reviewing brachial plexus injury in a trauma registry center


Dear editor

We read with interest Abdolrazaghi and his colleague’s paper entitled ‘’ Brachial plexus injury following blunt trauma; an anatomical variation in electrodiagnostic findings’’ and enjoyed it a lot. They presented a brachial plexus injury (BPI) case, which was rare in clinical practice because blunt traumas did not commonly cause BPI. There is ample evidence that most cases are men and adolescents aged 15 to 25 years, and the main mechanism of injury (70%) is motor vehicle accidents. As BPI is increasing, we will provide some epidemiologic and clinical characteristics of our cases registered at Sina Hospital, affiliated with the National Trauma Registry of Iran (NTRI). The Sina Trauma and Surgery Research Center launched the NTRI in 2016 and first recorded the related data from Sina Hospital. As the registry expanded, the NTRI included some other Iranian hospitals from different cities in the next step. The inclusion criteria were discussed elsewhere. We have registered 10 cases of BPI since 2016 at Sina Hospital. All of them were men, ranging from 19 to 45 years. The cause of injury was cut/stab in nine and road traffic accidents in one patient; seven were intentional, and most were due to interpersonal violence. Five of the injuries happened outdoors, three cases in commercial and service departments, and two at homes. Furthermore, the median injury severity score (ISS) was 5.0 (IQR=1). All of the patients had surgical operations. No death or need for ventilators was reported. Only one patient needed intensive care unit (ICU) admission and stayed for three days in the ward. We hope this information can be helpful for the Frontiers in Emergency Medicine’s readers to know more about BPI and can compare similarities and differences between our cases and the others included in the literature.

1. Abdolrazaghi H, Haghshomar M, Azadvari M. Brachial plexus injury following blunt trauma; an anatomical variation in electrodiagnostic findings. Front Emerg Med. 2021;6(2):e26.
2. Moran SL, Steinmann SP, Shin AY. Adult brachial plexus injuries: mechanism, patterns of injury, and physical diagnosis. Hand Clin. 2005;21(1):13-24.
3. Ghodsi Z, Movaghar VR, Zafarghandi M, Saadat S, Mohammadzadeh M, Fazel M, et al. The minimum dataset and inclusion criteria for the national trauma registry of Iran: a qualitative study. Archives of Trauma Research. 2017;6(2):7.
4. Sharif-Alhoseini M, Zafarghandi M, Rahimi-Movaghar V, Heidari Z, Naghdi K, Bahrami S, et al. National Trauma Registry of Iran: a pilot phase at a major trauma center in Tehran. Arch Iran Med. 2019; 22(6):286-92.
5. Saeednejad M, Zafarghandi M, Khalili N, Baigi V, Khormali M, Ghodsi Z, et al. Evaluating mechanism and severity of injuries among trauma patients admitted to Sina Hospital, the National Trauma Registry of Iran. Chin J Traumatol. 2021;24(3):153-8.
IssueVol 7 No 1 (2023): Winter (February) QRcode
SectionLetter to the editor
DOI 10.18502/fem.v7i1.11692
Emergency Medicine

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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
Salamati P, Zafarghandi MR. Reviewing brachial plexus injury in a trauma registry center. Front Emerg Med. 2023;7(1):e2.


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