@article{Mansoor_Aslam_Ahmed_Hameed_Nafees_Khadim_2022, title={Role of Magnetic Resonance Neurography on 3-Tesla in Brachial Plexus Injury Management}, volume={72}, url={https://pafmj.org/PAFMJ/article/view/4288}, DOI={10.51253/pafmj.v72i2.4288}, abstractNote={<p><strong>Objective:</strong> To study the effect of magnetic resonance neurography on 3 Tesla (MRN-3T) on the outcome of brachial plexus injury management.</p> <p><strong>Study Design:</strong> Prospective comparative study.<br>Place and Duration of Study: Department of Plastic Surgery, Combined Military Hospital Rawalpindi Pakistan, from Apr 2017 to Mar 2019.</p> <p><strong>Methodology:</strong> Two groups of brachial plexus injury (BPI) were studied over two years. Group-A (n=29) cases whose operative intervention was decided based on history, examination, NCS/EMG and CT scan. Second group-B included (n=33) patients in which MRN-3T (magnetic resonance neurography on 3 Tesla) was the critical diagnostic tool. The comparison of preoperative diagnosis with intraoperative findings and outcome of surgery were made.</p> <p><strong>Results:</strong> Out of 29 cases in group-A, 11 (37.93%) were explored. In these 11, neurolysis was done in one case, direct repair in one case, nerve grafting in 4 patients, nerve transfers with bridging grafts in 2 cases, whereas three patients had negative exploration. Of 33 cases in group-B, 21(63.64%) were explored. From these 21 cases, neurolysis was done in four patients; the direct repair was possible in 7 and in 10 cases bridging nerve grafts were used along with primary nerve transfers.</p> <p><strong>Conclusion:</strong> MRN-3T brachial plexus has significantly improved the diagnosis, preoperative planning and surgical outcome of patients with brachial plexus injury.</p>}, number={2}, journal={Pakistan Armed Forces Medical Journal}, author={Mansoor, Palwasha and Aslam, Muhammad Rizwan and Ahmed, Rao Saood and Hameed, Shahid and Nafees, Abu-ul-Ala and Khadim, Rehana}, year={2022}, month={May}, pages={617–21} }