The Role of Surgery in the Management of Radiation-Induced Brachial Plexopathy

Radiation-induced brachial plexopathy (RIBP) is a rare long-term complication of radiation therapy often causing pain, motor deficit, and overall quality of life reduction for affected patients. While a standard treatment for RIBP is yet to be established, management consists mostly of symptom manag...

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Bibliographic Details
Published inHand (New York, N.Y.) Vol. 19; no. 8; pp. 1189 - 1194
Main Authors Shoukry, Mira, Noland, Shelley S.
Format Book Review Journal Article
LanguageEnglish
Published Los Angeles, CA SAGE Publications 01.11.2024
Subjects
specialty
nerve transfer
nerve
omentoplasty
brachial plexus
diagnosis
radiation-induced brachial plexopathy
surgery
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Summary:Radiation-induced brachial plexopathy (RIBP) is a rare long-term complication of radiation therapy often causing pain, motor deficit, and overall quality of life reduction for affected patients. While a standard treatment for RIBP is yet to be established, management consists mostly of symptom management through the use of medications and physical therapy. There is a lack of evidence regarding the efficacy of surgical treatment. Omentoplasties and other vascularized flaps are commonly discussed options for eliminating neuropathic pain associated with RIBP. However, these approaches show no meaningful improvement in motor function. While limited, current literature suggests that nerve transfers may be an option for relief of neuropathic pain as well as restoration of motor function. This review of literature explores the options available to those affected by RIBP with a focus on the role of surgery.
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ISSN:1558-9447
1558-9455
1558-9455
DOI:10.1177/15589447231196902