Restoring Movement, Reclaiming Lives: Advancing Brachial Plexus Injury Care at Barnes-Jewish Hospital

David Brogan, MD, MSc, and Christopher Dy, MD, MPH, who are pioneering new approaches to treating brachial plexus injuries, including those caused by high-velocity trauma such as motor vehicle accidents.

June 11, 2025
8 min

Barnes-Jewish

At a Glance

Category	Detail
Condition	Brachial Plexus Injury
Key Mechanisms	Damage to the network of nerves controlling muscle function and sensation in the shoulder, elbow, and hand, often due to trauma.
Target Population	Patients with brachial plexus injuries, particularly those from high-velocity trauma.
Care Setting	Multidisciplinary team at Barnes-Jewish Hospital, including orthopedic, plastic, reconstructive surgery, and neurosurgery.

Key Highlights

Early intervention within weeks of injury improves functional outcomes.
Integrated care approach addressing physical, functional, and emotional recovery.
Innovative surgical techniques like free-functioning muscle transfer and nerve grafts.
Research on nerve regeneration techniques, including intraoperative electrical stimulation.
Patient education tools developed to support recovery and understanding.

Guideline-Based Recommendations

Diagnosis

Early assessment of brachial plexus injuries is crucial for better outcomes.

Management

Utilize a multidisciplinary approach including surgery, rehabilitation, and psychological support.

Monitoring & Follow-up

Regular follow-ups to assess recovery and adapt treatment plans as necessary.

Risks

Delayed treatment can lead to worse functional outcomes and emotional distress.

Patient & Prescribing Data

Individuals experiencing brachial plexus injuries, often in their prime working years.

Comprehensive care includes pain management, psychological support, and guided rehabilitation.

Clinical Best Practices

Engage in early diagnosis and intervention for brachial plexus injuries.
Implement a holistic treatment approach addressing both physical and psychosocial aspects.
Utilize advanced surgical techniques and stay updated with ongoing research.