Evidence map›Paper›PMID 39247210›Full record

ReviewAdvances in orthopedics2024

Treatment of Brachial Plexus Injuries following Gunshot Injuries: A Systematic Review.

Rohun Gupta, Isabel Herzog, Lauren Phung, Jacquelyn Roth, Joseph Weisberger, Margaret Luthringer, Edward S Lee, Ashley Ignatiuk

Abstract readReview
In one paragraph

Review in Advances in orthopedics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rohun GuptaDivision of Plastic and Reconstructive Surgery St. Louis University School of Medicine, St. Louis, MO, USA.
Isabel HerzogDepartment of Plastic Surgery Rutgers New Jersey School of Medicine, Newark, NJ, USA.ORCID https://orcid.org/0000-0001-7491-5746
Lauren PhungOakland University William Beaumont School of Medicine, Rochester, MI, USA.
Jacquelyn RothDepartment of Plastic Surgery Rutgers New Jersey School of Medicine, Newark, NJ, USA.ORCID https://orcid.org/0009-0009-1958-2366
Joseph WeisbergerDepartment of Plastic Surgery Rutgers New Jersey School of Medicine, Newark, NJ, USA.
Margaret LuthringerDepartment of Plastic Surgery Rutgers New Jersey School of Medicine, Newark, NJ, USA.
Edward S LeeDepartment of Plastic Surgery Rutgers New Jersey School of Medicine, Newark, NJ, USA.
Ashley IgnatiukDepartment of Plastic Surgery Rutgers New Jersey School of Medicine, Newark, NJ, USA.ORCID https://orcid.org/0000-0003-4074-6280

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Brachial plexus injuries (BPI) from gunshot injuries are uncommon but usually severe and can cause chronic pain, loss of function, and permanent nerve damage. Multiple surgical techniques including neurolysis, end-to-end suture repair, and graft repair have been described for the treatment of these injuries. However, surgical indication, timing, and technique for these injuries remain controversial. This systematic review aims to investigate the treatment modalities for patients with BPI due to gunshot-related injuries. Methods: The Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) methodology was employed for this review. PubMed, Cochrane Reviews, Embase, and CINAHL databases were included. The following keywords constituted our search criteria: gun-shot-wounds, brachial plexus, traum Results: A total of 90 studies were imported for screening, from which 9 papers met our final inclusion/exclusion criteria. The most common studies utilized in this review were retrospective chart reviews followed by case series. In total, there were 628 patients that suffered from gunshot wounds to the brachial plexus. Most patients underwent some form of delayed nerve repair consisting of neurolysis, end-to-end epineural repair, or graft repair with a sural or antebrachial cutaneous nerve graft. Several patients suffered from complications, with neuroma being the most common long-term complication that required reoperation. Conclusion: The optimal timing for surgeries involving BPIs should be determined after examining the level of nerve damage, associated injuries, operative risks, and electrophysiological workup for indications of spontaneous regeneration. Early surgical interventions were indicated for patients presenting with associated vascular or thoracic injuries, compressive masses, and nerve transection by sharp instruments in most selected papers.

Identifiers

PMID39247210
PMCPMC11379507

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.