Brachial Plexus: Clinical and Surgical Aspects

Young surgeons, even those practicing peripheral nerve repairs and attracted by brachial plexus lesions, are sometimes in trouble in understanding the state of the art of brachial plexus surgery, especially when confronted with high level meetings such as the Narakas Club, where this topic is discussed in depth amongst experts. 

Thus,  we have decided to organize a  Course on the basic approach to brachial plexus lesions (from diagnosis to principles of treatment) for young surgeons wishing to start to understand and to go into details of such a complex problem.

PRE - NARAKAS COURSE

BRACHIAL PLEXUS LESIONS : CLINICAL AND SURGICAL ASPECTS

Wednesday October 23^rd  

Aula Magna of the CTO hospital in Torino

8.15 Registration

8.45 Welcome and introduction of the speakers with brief overview of the day agenda (B. Battiston – P. Titolo)

9.00 - 09.40 Session 1 - Anatomy and Physiology of the Brachial Plexus

9.00 – 9.20 Brachial plexus: anatomy and functions (Manuel Llusa)

9.20 – 09.40 Nerve regeneration principles and how to enhance it (Amy Moore)

09.40 - 11.00 Session 2 – Diagnosis and clinical evaluation of Brachial Plexus lesions

09.40 – 10.00 OBPP - Natural history. How to evaluate children and preop exams (Jorg Bahm)

10.00 – 10.20 Adult brachial plexus injury: clinical evaluation and preop exams (I. Marcoccio)

10.20 – 10.40 How to evaluate palsy around the shoulder (Elhassam Bassem)

10.40 – 11.00 Questions and discussion

11.00 – 11.20 Coffee break

11.20 - 13.30 Session 3 – Brachial Plexus surgery: approaches and techniques

11.20 – 11.40 OBPP : reconstructive strategy. (Willem Pondaag)

11.40 - 12.00 Expected outcomes and complications (Piero Raimondi)

12.00 – 12.20 Adult brachial plexus injury : reconstructive strategy (Bruno Battiston)

12.20 – 12.40 Adult brachial plexus injury: expected outcomes and complications (Nicola Felici)

12.40 – 12.55 Nerve transfers in brachial plexus surgery (Amy Moore)

12.55 – 13.10 Use of allografts in BP repair  (O.Merced O’Neill , Bauback Safa)

13.10 – 13.30 Questions and discussion

13.30 – 14.30 Lunch break

14.30 - 16.00 Session 4 – Secondary surgery and T.O.S.

14.30 – 15.00 Secondary surgery in brachial plexus in children (Alain Gilbert)

15.00 – 15.15 Tendon transfers around the shoulder in the adult (Bassem Elhassam)

15.15 – 15.30 Tendon transfers around the elbow in the adult (Paolo Titolo)

15.30 – 15.45 Tendon transfers for hand and wrist in tha adult (J. Clifton)

15.45 – 16.00 Toracic Outlet Syndrome (Michel Merle)

16.00 – 17.00 Session 5 – How to assess results and post-op. rehabilitation

16.00 – 16.15 How to assess results (Nunzio Catena)

16.15 – 16.30 Literature review on results given by surgery (Erika Cavalli)

16.30 – 16-45 Post-operative rehabilitation (Ernesta Magistroni)

16.45 – 17.45 Discussion

17.45 – 18.00 Final remarks and thanks