brahmanand clinic

                                                     Gauri the grand mother Gauri was a garhwali women living in faridabad for past twenty years . She was a widow and and was working to support herself. All her children were married off and settled . Culturally hilly areas are little different from plains , women play important role in society . They are pretty independent and often important earning member of familly. Gauri was living in faridabad since her marriage where her husband was working. Gradually her children were married off and she was doing odd jobs to survive. On august morning she was going to market she her foot was run over by a truck. Luckily no bones were damaged , but whole skin of foot  turned black. She was taken to a local orthopedic hospital run by a prominent orthopedic surgeon , she was shown to a plastic surgeon attached to the hospital. Plastic surgeon suggested cross leg flap , two stages and misery involved delayed the decision. Then the search begins

                           Adult Brachial Plexus Injuries Adult brachial plexus injuries are becoming increasingly common. In adults most common cause is motor cycle accidents, other notably causes are tumors, radiotherapy and iatrogenic. brachial plexus is a plexus of nerves which arise out of lower cervical (C5-C8) and first thoracic T1 spinal nerves.Anterior primary rami which are motor in function participate in plexus formation. They supply motor and sensory innervation to upper limbs from shoulder to hand. In the C5 and C6 forms upper trunk just after exiting scalene triangle,C7 continue as middle trunk and lower two(C8&T1) joined as lower trunk. They gives rise to cords which are below clavicle and followed by terminal branches. All posterior division arising from trunks forms posterior cord which gives arise to terminal branches, anterior division of upper trunk give arise to lateral cord and medial cord comes from anterior division of middle trunk. Terminal branches