ArticleThe Journal of hand surgery, European volume2026
Magnetic resonance imaging for detecting root avulsions in brachial plexus birth injuries.
Article in The Journal of hand surgery, European volume, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionWe assessed the diagnostic accuracy of 3T magnetic resonance imaging in comparison with surgical exploration for detecting root avulsion in brachial plexus birth injuries.
methodsThis retrospective cohort study describes a consecutive series of 18 infants with brachial plexus birth injuries born between January 2019 and May 2024 who had a surgical exploration of the plexus preceded by magnetic resonance imaging under the same general anaesthetic.
resultsThe overall diagnostic accuracy of magnetic resonance imaging for detecting root avulsion(s) of C5-T1 was 68%, with 67% sensitivity and 92% specificity. It has a 'good' diagnostic accuracy for detection of root avulsion, although only a 'sufficient' sensitivity.
conclusionAlthough useful, magnetic resonance imaging in its current form cannot be solely relied upon for clinical decision-making in brachial plexus birth injuries. LEVEL OF EVIDENCE: IV.
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