
brackial plexes parikk

brackial plexes leshan ennum ariyappedunna brackial plexes injuri (bpi), sushumna naadi muthal thool, kaii, kaii ennivayilekku signalukal nadathunna njarambukalude shringalayaaya brackial plexasinu undaakunna parikkaanu. eee njarambukal anchaamatheyum aaraamatheyum ezhaamatheyum ettaamatheyum servical (sii5-sii8), aadyathe thorassic (tii1) sushumna njarambukalil ninnu uthbhavikkukayum nench, thool, kaii, kaii ennivayude peshikaleyum charmmatheyum aswasthamaakkukayum cheiyunnu.
tholil parikkinte falamaayi brackial plexes parikkukal sambhavikkam (udha.jii. sthaanachalana), tumours, allengil veekkam, allengil obstetrik. prasava budhimuttil tholil dystosia ulppedunna mechanical parikk moolam obstetrik parikkukal sambhavikkam, 1000 jananangalil 1 ennam vyaapikkunnu.
"thalayudeyum tholinteyum vashath ninnu uyarathil ninnu veezhunnathiloode brackial plexasinu parikkelkkaam, athuvazhi plexasinte njarambukal akramaasakthamaayi neengunnu. nerittulla akramam allengil vediyundakal, kaikalil akramasakthamaaya izhayal allengil tholinte sandhikalude sthaanabhramsham kuraykkunnathinulla sramangal ennivayaal brackial plexasinu parikkelkkaam.
apoorva parsonej-turner syndrome vyakthamaaya parikkukalillaathe brackial plexes veekkam undaakkunnu, ennirunnaalum rogalakshanangal pravarthanarahithamaakkunnu.
adayaalangalum lakshanangalum.
kaii viriyukayo pakshaaghaatham neridukayo cheyyuka, kaii, kaii allengil kaithandayil peshikalude niyanthranatthinte abhavam, kaiyilo kaiyilo vikaaramo samvedanamo illaathathu enniva adayaalangalilum lakshanangalilum ulppedaam. brackial plexes parikkukalkk niravadhi samvidaanangal undengilum, ettavum saadhaaranamaayath naadi compression allengil stretch aanu. sisukkalkku, prathyekichu, prasava samayat brackial plexes parikkukal anubhavappedaam, iva brackial plexasinte eathu bhagamaanu ulppettirikkunnath ennathine aashrayich balaheenathayude saadhaarana paattenukalode kaanapedunnu. saadhaaranayaayi motor-vahana koottiyidi allengil saikkil apakadangalil saadhaaranayaayi sambhavikkunna uyarnna vegathayulla aaghaathangalkkoppam varunna naadi root avalshanaan parikkinte ettavum gurutharamaaya roopam.
vaikalyangal.
naadi kedupaadukalude sthaanathe adisthaanamaakki, brackial plexes parikkukal kaiyude bhaagatheyo muzhuvan bhaagatheyo badhikkum. udaaharanathinu, musculocutaneous naadi kedupaadukal kaimutt flexerukale durbalappeduthunnu, median naadi kedupaadukal proximal formart vedanaykku kaaranamaakunnu, alnar nadiyude pakshaaghaatham durbalamaaya pidikkum viral maravippinum kaaranamaakunnu. chila sandarbhangalil, eee parikkukal poornnamaayum thirichedukkaanaavaathumaathu pakshaaghaathatthinu kaaranamakum. kadinamallaatha kesukalil, eee parikkukal eee kaikaalukalude upayogam parimithappedutthukayum vedanayundaakkukayum cheiyunnu.
appol brackial plexes parikkinte pradhana lakshanagal, kaiyile balaheenata, reflexukal kurayuka, anubandha censory kammi ennivayaanu.
kaaranagal.
mikka kesukalilum, naadi verukal avayude uthbhavasthaanath ninnu neettukayo keerukayo cheiyunnu, kaaranam oru naadi verile meninchiyal cover nadic chuttumulla aavaranathekkaal kanamkuranjathaanu. nadiyude epinerium dura mettarumaayi chernnu nadic adhika pinthuna nalkunnu.
brackial plexes shathangal saadhaaranayaayi amithamaya stretching moolamaanu undaakunnath; naadi keeriyathum ennaal sushumna naadiyilallaathathumaaya pottal parikk; allengil sushumna nadiyile attaachmentil ninnu naadi keeriya avalsion parikkukal. asthi sakalam, seudoenurism, hematoma, allengil pottithericha klaavikkilinte collus roopeekaranam enniva parukketta nadic mail sammarddam cheluthukayum peshikalude interveshane thadassappeduthukayum cheyyum. tholinteyum kazhuthinteyum bhaagath nerittu undaakunna oru aaghaatham, kombinum aadyathe warryellinum edayilulla brackial plexasine takarkkum.
parikkukal eppol venamenkilum sambhavikkaamenkilum, jananasamayath niravadhi brackial plexes parikkukal sambhavikkunnu janana prakriyayil kunjinte tholukal baadhichekkaam, ithu brackial plexes njarambukal neettukayo keerukayo cheyyum. prasava budhimuttulla samayat tholil dystosia ulppedunna mechanical parikk moolam obstetrik parikkukal sambhavikkam, avayil ettavum saadhaaranamaayath jananasamayath kuttiyude brackial plexes kedupaadukal varuthunnathinte falamaanu, mikkappozhum yoniyil janikkumbol, pakshe idaykkide siseriyan sekshan. amithamaya stretch parikketta nadiyude apoornnamaaya censory koodaathe/allengil motor pravarthanatthinu kaaranamaakunnu.
sii5-tii1 naadi naarukalude amithamaya neettalo keeralo moolamaanu brackial plexasinu parikkukal sambhavikkunnath. eee parikkukal naadi thadassangal, sushumna naadi ninnu root avalshanukal, allengil munvashatho purattho sthithi cheyyaam. klinikkal parisodhanakal, aakson reflex parisodhana, electrophysiological parisodhana ennivayude adisthaanathilaanu eee parikkukal nirnnayikkunnath. brackial plexes parikkukalkk rogikk poornnamaaya pravarthanaparamaaya veendedukkal nadatthaan pettennulla chikitsa aavasyamaanu (tung, 2003). cheruppakkaaraaya purushanmaarilaan itharathilulla parikkukal kooduthalaayi kaanappedunnath.
sports, hye-velity motor vahana apakadangal, prathyekichu motorcycle yaathrakkaaril, mathramalla ool-terraine-vehicle (edivi), mattu apakadangal ennivayulppede niravadhi kaaranangalal aaghaathakaramaaya brackial plexes parikkukal undakam. scapulayude paarshwabhaagathekku nerittu adikkunnathiloode parikkum undakam. naadi parikkukalkk neriya neelam muthal sushumna naadi (avalsion) yill ninnu keerunna naadi root vare vyathyaasappedaam. "thalayudeyum tholinteyum vashath ninnu uyarathil ninnu veezhunnathiloode brackial plexasinu parikkelkkaam, athuvazhi plexasinte njarambukal akramaasakthamaayi neengunnu... nerittulla akramam allengil vediyundakal, kaikalil akramasakthamaaya izhayal allengil tholinte sandhikalude sthaanabhramsham kuraykkunnathinulla sramangal ennivayaal brackial plexasinu parikkelkkaam.
brackial plexes kshathangale moonnu tharangalayi tirikkaam
brackial plexasil paakk-strappukal deerghakaalamaayi amarthunna kanatha baakkpaakkinte upayogam moolamaanu backpack palsy undaakunnath.
samvidaanam.
brackial plexasinu kedupaadukal niravadhi parithasthithikalil sambhavikkam. kondaakt sports, motor vahana apakadangal, jananam enniva ithil ulppedaam. iva saadhaaranamaaya chila sambhavangalaanenkilum, parikkinte samayat sthiramaayi thudarunna rund parikk samvidaanangalil onnu undu. traction, kanatha aaghaatham ennivayaanu sambhavikkaavunna rund samvidaanangal.
shareeraghadana.
peripheral naadeevyavasthayude bhagamaaya sushumna njarambukal chernnathaanu brackial plexes. ithil mukalile kaikaalukale aswasthamaakkunna censory, motor njarambukal ulppedunnu. brackial plexasil avasaanathe naalu servical njarambukalum (sii5-sii8) onnaam thorassic nady (tii1) ulppedunnu. aaa njarambukal oronnum cheria thumbikkai, vibhajanam, charadukal enningane vibhajikkunnu. laattaral cordil musculocutaneous nady median nadiyude laattaral shaakhayum ulppedunnu. medial nadiyude medial shaakhayum alnar nady medial cordil ulppedunnu. pinbhaagathe naadi aaksilari nady radial nady ulkkollunnu.
traction.
kadinamaaya chalanatthil ninnaan traction sambhavikkunnath, ithu njarambukalkkidayil valicano pirimurukkam undaakkaano kaaranamaakunnu. rund tharatthilulla traction undu thaazhekkulla traction, mukalilekkulla traction. thaazhekkulla tractionil kaiyude pirimurukkam undaakunnu, ithu kazhuthinteyum tholinteyum koonn vishaalamaakkaan prerippikkunnu. eee pirimurukkam nirbandhithamaavukayum brackial plexasinte njarambukalude mukal verukaludeyum thumbikkaiyudeyum murivukalkk kaaranamaakukayum cheyyum. motor saikkil apakadangalum kaayika parikkukalum saadhaaranayaayi brackial plexasinu itharathilulla parikkukalkk kaaranamaakunnu. mukalilekkulla traction scapulo-humoural angle vishaalamaakkunnathinum kaaranamaakunnu, ennaal ithavana tii 1, sii 8 ennivayude njarambukal keerunnu. humeral odivukalum tholinte sthaanachalanangalum uyarnna oorjja parikkukalkoppam itharathilulla parikkukalkk kaaranamakum.
kadinamaaya aaghaatham, anuchithamaya shasthrakriyayude sthaanam, allengil shasthrakriyayude anuchithamaya upayogam ennivaykkidayil root avalsion allengil naadi villal sambhavikkam. root avalsion parikk varuthaan rund samvidaanangalundu peripheral, central mechanism. peripheral mekkaanisathil, traction rootlettilekku kaimaattam cheyyappedunnu, ennirunnaalum rootlettumaayi thaarathamyappeduthumbol dura ilaastik kuravaayathinaal dura mettar rutlettinoppam kedupaadukal sambhavikkilla. seudomeningosel servical myelography kaanikkam. maruvashathu, kendra samvidaanathiloode, thalayum kazhuthum brackial plexasinte nattellu verukalkkoppam shareerathinte ethirvashathekku thallunnu, ithu nerittu naadi verukalkku parikkelkkunnathilekku nayikkunnu, pakshe dura sheeth kedukoodaathe thudarunnu. eee saahacharyathil, munvashathe verukalkku pinbhaagathe verukalekkaal avalsion undakanulla saadhyatha kooduthalaanu, athinaal sii8, tii1 naadi verukalkku parikkukal sambhavikkaan saadhyathayund. murivukalude sthaanathe adisthaanamaakki root avalsion parikk kooduthal vibhajikkaam pree-aandu poost ganglionic murivukal. oru preganglionic kshathatthil, censory fiber censory ganglioninte koshashareeratthil gadippichirikkunnu, athinaal censory fiberinte valerian degeneration illa, athinaal censory aakshan pottensial ippozhum sushumna nadiyude vidoora attathu kandethaan kazhiyum. ennirunnaalum, itharathilulla murivu undaakunnavarkk badhita naadi verukalil censory nashtam sambhavikkunnu. eee saahacharyathil, thunnal saadhyamaakunnathin valare cheruthaanu proximal naadi tissue ennathinaal kshathatthinte sasthrakriya attakuttappanikal saadhyamalla. poost ganglionic shathangalkku, censory ganglioninte kosasareeram sushumna naddle ninnu verpeduthappedunnu, ithu censory fiberinte valerian degenerationilekku nayikkunnu. athinaal, nattellu nadiyude vidoora attathu aakshan pottensial kandethiyitla. ennirunnaalum, proximal naadi tissue thunnalin mathiyaya neelamullathinaal sasthrakriya attakuttappanikal saadhyamaan.
swaadheenam.
brackial plexasinu parikkelppikkunnathil randaamathe saadhaarana samvidaanamaanu tholil kanatha aaghaatham. aaghaathathinte theevrathaye aashrayich, brackial plexasile ellah njarambukalilum murivukal sambhavikkam. aaghaathathinte sthaanam parikkinte kaadinyatheyum badhikkunnu, koodaathe brackial plexasinte njarambukal pottukayo pottukayo cheyyaam. claviclinum aadya warryellinum idayil kadannupokumbol, brackial plexes costoclivicular sthalathu takarkkaam. vahana apakadangal, thozhil parikkukal allengil kaayika parikkukal ennivayude falamaayi tholil allengil kazhuthu bhaagath nerittu parikkukal undaakunnathaan ithu saadhaaranayaayi sambhavikkunnath. asthikalude sakalangal allengil clavicular odivukalil ninnulla callus, rakthakkuzhalukalude parikk moolam hematoma allengil seudoenurism thudangiya chuttumulla kedupaadukal sambhavicha gadanakalum brackial plexasine compress cheythekkaam. servical rib, pramukha transwers prakriya, janmana fibrus baandukal enniva brackial plexasine compress cheyyukayum thorassic outlettu syndrome undaakkukayum cheyyum.
oru kunjinte prasava samayat, kunjinte thool ammayude pelvik asthiyil meyunnundaakaam. eee prakriyayil, brackial plexasinu kedupaadukal sambhavichekkaam. jananasamayath ithu sambhavikkunnathinte sambhavangal 1000 ll 1 aanu. ithu mattu brackial plexes parikkukalumayi thaarathamyappeduthumbol valare kuravaanu.
roganirnayam.
oru brackial plexes parikk nirnnayikkunnathinulla ettavum krithyamaaya parisodhana nattellu verukal muthal end-oorgans vare parikketta bhaagangalude operative paryavekshanamaanu. intra operative electrical padanangalodeyo allaatheyo (udha.jii. bipolar stimuleshan, seps allengil meps) supplementaayi. sushumna kanaalinullile rootlettukaludeyum sushumna verukalude intraaforaminal bhaagathinteyum pravarthanaparamaaya vilayiruthal dorsal root gangliayude sameepathaan (udha.jii. hemilaminectomy vazhiyo allengil mattoo) budhimuttullathum apoorvvamaayi maathrame vaidyashaasthraparamaayi nyaayeekarikkaanaavoo, athinaal prathyakshatthil inn-condinuity roottinte pashchaathalatthil, preopparetteevu imaging padanangalaanu nadiyude eee bhagam vilayiruthunathinulla eaka reethi.
bbpiyude ettavum mikacha noonn-invasive testt magnetic resonance imaging (emri) aanu. parikkukal vilayiruthunnathin emm. aarr. aii sahayikkunnu, koodaathe pravartthanaparamaayi paryavekshanam cheyyaan kazhiyaatha plexasinte bhaagathekkurichulla vivarangal nalkaan ithu upayogikkunnu (rootlettukalum verukalum). koodaathe, servical coord vilayiruthal, sophtt tissuekalile poost trometic mattangal, anubandha parikkukal (udha.jii. odivukal, kafukal muthalaayava.) vilamathikkappedaam. naadi chaalaka padanangal, ultraasoundu, mattu parisodhanakal ennivayekkaal mikachathaanenkilum, parambaraagatha emaaraikku mosham prathyekathayaanullathu (72 sathamaanam) athaayath thettaaya positteev nirakk uyarnnathaan, koodaathe chikitsa nayikkaan sarjanmaarkk parisodhanaye aashrayikkaan kazhiyilla. thathfalamaayi, peripheral naadi emr imajinginte (imaging brackial plexes parikkukal ulppede) bhaavi defusion-waited imajingine adisthaanamaakkiyukirathaayin saadhyathayund, defusion tensor teknikkukal, iva ganyamaaya klinikkal yoottility ullathum eluppathil vyaakhyaanikkaavunna 3D punarnirmmaanangalude uthpaadanam praapthamaakkukayum cheyyum.
bpi kazhinju aazhchakal/maasangalkk sesham, emg parishodhanaykk peshi unarnnittundo ennathinekkurichulla adhika vivarangal nalkaan kazhiyum. eee parisodhanakal vedanaajanakavum valare upayokthaavine ashrayikkunnathum saadhaarana moolyangal illaathathum athinaal aashrayikkaan kazhiyilla.
vargeekaranam.
brackial plexes parikkinte theevratha nirnnayikkunnath naadi kedupaadukalude tharamaan. naadi, brackial plexes parikkukal ennivayude theevratha tharamthirikkunnathinu niravadhi vyathyastha vargeekarana samvidaanangalundu. mikka samvidaanangalum parikkinte alavu lakshanagal, pathology, roganirnayam ennivayumaayi bandhappedutthaan shramikkunnu. 1943ll roopeekaricha seddoninte vargeekaranam upayogikkunnathu thudarunnu, ithu moonnu pradhana tharam naadi naarukalude parikkineyum nadiyude thudarchayundo ennathineyum adisthaanamaakkiyullathaanu.
parethanaaya sarr sidani sunderland vivaricha ettavum puthiyathum saadhaaranayaayi upayogikkappedunnathumaaya oru samvidaanam, naadi parikkukale anchu digrikalaayi vibhajikkunnu phastt digri allengil neurapraxia, seddonil ninnu pinthudarunnu, athil mailin enna nadic chuttumulla insulation kedaakunnu, pakshe naadi thanne rakshappedunnu, randaamathethu muthal anchaam digri vare, ithu parikkinte theevratha vardhippikkunnathine soochippikkunnu. anchaam digri parikkukal undengil naadi poornnamaayum vibhajikkappedunnu.
chikitsa.
brackial plexes parikkukalkkulla chikilsayil orthosis/splinting, thozhil allengil physical therapy, chila sandarbhangalil sasthrakriya enniva ulppedunnu. chila brackial plexes parikkukal chikilsayillaathe sukhappedaam. pala shishukkalum 6 maasathinullil mechappedukayo sukham praapikkukayo cheiyunnu, ennaal illaathavarkku valare mosham kazhchappadullavarum naadikkurav nikathaan kooduthal sasthrakriya aavasyamullavarumaanu. kaithandayude kooduthal mukalilekkulla chalanavum athupole thanne thallaviralukalum viralukalum nereyaakkunnathum mikacha swaabhaavika mechappeduthalinte kooduthal sakthamaaya soochakamaaya jeevithathinte moonnaam maasathode kaimutt (biceps function) valaykkaanulla kazhivu veendedukkaanulla saadhyathayude soochakamaayi kanakkaakkappedunnu. maathaapithaakkal nadathunna soumyamaaya chalana vyaayamangal, oru doctorude aavarthichulla parisodhanakal enniva rogamukthikk sakthamaaya soochakangalulla rogikalkku aavashyamaayi vannekkaam.
neriya parikkil ninnu karakayaran sahaayikkunnathin mukalil soochippicha vyaayamangal cheyyaam. ennirunnaalum, kooduthal gurutharamaaya brackial plexes parikkukalil sasthrakriyakal upayogikkaam. naadi attakuttappanikal, naadi maattisthaapikkal, parikk undaakkunna tumours neekkam cheiyunnathinulla sasthrakriya ennivayiloode pravartthanam punasthaapikkaan kazhiyum. rogiyil ninnulla prachodanatthinte abhavam kaaranam maanasika prasnangal punaradhivasa prakriya thadassappeduthum ennathaanu shradhikkenda mattoru nirnaayaka ghadakam. shaareerika rogashaanthiyude aajeevanantha prakriya prothsaahippikkunnathi mukalil, oru rogiyude maanasika kshemam avaganikkathirikkendath pradhaanamaan. vishaadam allengil thalaykku parukketta sankeernathakal undakanulla saadhyathayaanu ithinu kaaranam.
punaradhivasam.
brackial plexes parikkukal ullavaril rogamukthi prakriya sugamamaakkunnathin niravadhi chikilsakalundu. mechappeduthalukal saavadhaanam sambhavikkunnu, punaradhivasa prakriyaykku niravadhi varshangal vare eduthekkaam. rogamukthi samayam kanakkaakkumbol parikkinte prarambha roganirnayam, parikkinte theevratha, upayogicha chikilsaareethikal thudangi niravadhi gadakangal pariganikkendathundu. naadi graaft, marunnu, shasthrakriyayude sammarddam, naadi kaimaattam, physical therapy, thozhil therapy enniva chila tharatthilulla chikilsakalil ulppedunnu.
chikitsa.
brackial plexes parikkukal kaikaaryam cheyyumbol physical, okyupeshanal therapy pradhaanamaan. njarambukal veendum pravartthikkunnathuvare peshi ksheenam thadayuka ennathaanu punaradhivaasatthinte pradhana lakshyangalilonn. eee adisthaana lakshyathilethaan rogikale sahayikkunnathinulla phalapradamaaya chikilsayaanu electrical stimuleshan. tholinte neelam, valarcha, uyaram, vishaadam, thattikkondupokal, kootticherkkal enniva ulppedunna vyaayamangal kedupaadukal sambhavicha sthalangalile njarambukale edapazhakunnathiloode rogashanti sugamamakkukayum peshikalude pravartthanam mechappeduthukayum cheiyunnu. chalana paridhi mechappeduthunnathino nilanirthunnathino divasena stretching nadathunnu. parikkukalkkulla rakthayottam vardhippikkukayum njarambukal shariyaayi pravartthikkaan sahayikkukayum cheiyunnathinaal punaradhivaasathinu stretching pradhaanamaan.
brackial plexes parikkinusesham mukalile kaikaalukalile censory-motor kuravu lamba sthaanathe shaareerika santhulithaavasthaye badhikkumennum oru patanam theliyichittundu. parishodhicha rogikalkku berg balance skailil kuranja score undaayirunnu, oru minittil unipodal nilapad nilanirthunnathil kooduthal budhimuttu anubhavappedukayum sareerabhaaram vitharanam murivu baadhicha vashathekku chaayukayum cheythu. directional stebility indux vilayiruthiya postural oosileshanil rogikal kooduthal vyathiyaanavum prakadippichu. eee avasthayude dvitheeya phalangal thadayukayum chikilsikkukayum cheyyendathinte aavasyakathayekkurichu phalangal klinikkal samoohathe ariyikkunnu.
epidemiology.
brackial plexes parikk kuttikalilum muthirnnavarilum kaanapedunnu, pakshe bpi ulla kuttikalum muthirnnavarum thammil vyathyaasamund.
muthirnnavar.
1900kalil vadakke american muthirnnavaril brackial plexes parikkukal ekadesham 1.2 shathamaanamaayirunnu. aarogyamulla cheruppakkaaril, 14 num 63 num idayil prayamullavaril bpi saadhaaranayaayi kaanapedunnu, 19 num 34 num idayil praayamulla 50 sathamaanam rogikalum. bpi rogikalil 89 sathamaanavum purushanmaaraan. brackial plexes parikkinte nirakk vardhichukondirikkanu.
kuttikal.
obstetrikkal brackial plexes palsy ennum ariyappedunna oo. bii. pii. pii, praadhamikamaayi cheria kuttikalil, lokathinte vividha pradeshangalile shishukkalude paricharana tharatheyum jananabharatheyum aashrayich 1000 jeevichirikkunna jananangalil 0.38 muthal 1.56 vare nirakkil sambhavikkunnu. udaaharanathinu, amerikkayil nadanna oru padanatthil 1000 jeevichirikkunna jananangalil ekadesham 1.51 kesukal undayathaayum, oru canadian padanatthil, 1000 jeevichirikkunna jananangalil 0.5 muthal 3 vare parikkukal undayathaayum, oru dutch patanam 1000 jeevichirikkunna jananangalil 4.6 kesukal undayathaayum report cheythu. pramehamulla sthreekalkku janikkumbol 4.5 kilograamil kooduthal bharamullah sisukkalkkaanu jananasamayath bpi varaanulla saadhyatha kooduthal. delivari tharam bpiyude apakadasaadhyathayeyum badhikkunnu. janana bharam vardhikkunnathum vaakvam sahayikkunna janana prasavavum glucose kaikaaryam cheyyaan kazhiyaathathum navajaathasisukkalkkulla brackial plexes parikk apakadasadhyathakal vardhippikkunnu.
aaghaathakaramaaya parikkukal.
motor saikkil apakadangal, kaayika pravartthanangal, jolisthalathe apakadangal thudangiya 44 muthal 70 sathamaanam vare aaghaathakaramaaya parikkukal bpiyil sambhavikkunnu. 22 sathamaanam perkku motor saikkil parikkukal, ekadesham 4.2 sathamaanam perkku plexes kedupaadukal ennivayundu. motorcycleukalum snomobileukalum oodichu apakadangal sambhavikkunna aalukalkk bpi varaanulla saadhyatha kooduthalaanu, koodaathe motor saikkil apakadangal polulla parikkukal undengil, sushumna nadic undaakunna root avalsion aanu ettavum saadhaaranamaaya parikk (~72% kuranjathu 1 root avalshante vyaapanam), ithinu kaii punarjeevakarikkunnathinaayi sasthrakriya aavasyamaanu.
pravachanam.
brackial plexes parikkinte sthalavum tharavum roganirnayam nirnnayikkunnu. avalsion pottalukalum undaakunna parikkukalkk sukham praapikkanulla eathu saadhyathaykkum samayabandhithamaya sasthrakriya aavasyamaanu. athupole, paan-plexes parikkukal ulla rogikalil kaimutt valavu ethrayum vegam punarnirmikkanam, kaaranam kaalathamasam moshamaaya motor phalangalilekku nayikkunnu. tholinte sthaanachalanathethudarnnulla mikka adanja infra-clavicular parikkukalum thudakkathil pravartthanarahithamaayi kaikaaryam cheyyappedunnu, koodaathe censory pravartthanam veendedukkunnathil mikkavarum paraajayappedunnuvennum ennaal chila motor pravartthanangal veendedukkunnuvennum daatta kaanikkunnu. vadu tissue roopappedunnathum neurapraxia ulppedunna neriya parikkukalkk, mechappedaanulla saadhyatha vyathyaasappedunnu, pakshe 90-100% pravartthanam madangivarunnathiloode swaabhaavikamaaya veendedukkalinu nyayamaaya roganirnayam undu.