title: Bilateral brachial plexus palsies due to malpositioning after burn injury.
abstract: We reported a case of a 62-year-old man who sustained bilateral brachial plexus palsies resulting from malpositioning while being restrained due to agitation after burn injury. According to the clinical and EMG findings, we selected conservative treatment with rehabilitative intervention. Approximately 1 year after the injury, the patient became able to eat meals, dress himself, and use the toilet independently. To prevent brachial plexus injury in the supine position, the arms should be abducted and flexed to less than 90°. Clinicians should be vigilant regarding positioning when patients must be restrained.
authors.affiliation: Department of Rehabilitation Medicine, Tokai University School of Medicine, Isehara, Kanagawa, Japan. rehadell@m.med.u-tokai.ac.jp
authors.forename: Takashi
authors.initials: T
authors.lastname: Kasahara
authors.forename: Minoru
authors.initials: M
authors.lastname: Toyokura
authors.forename: Kaoru
authors.initials: K
authors.lastname: Furuno
authors.forename: Akira
authors.initials: A
authors.lastname: Ishida
mesh_terms: D001917:Brachial Plexus / Q000293:injuries*; D020516:Brachial Plexus Neuropathies / Q000209:etiology*; D002056:Burns; D004568:Electrodiagnosis; D004576:Electromyography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009431:Neural Conduction / Q000502:physiology; D010243:Paralysis / Q000209:etiology*; D056888:Patient Positioning / Q000009:adverse effects*; D012149:Restraint, Physical / Q000009:adverse effects*