The Brachial Plexus

  • John O’Neill
  • Julian Dobranowski

The brachial plexus is one of the more challenging anatomical components of the peripheral nervous system to master, even before one picks up a transducer. The significant variation in the formation and arrangement of the plexus makes detailed anatomical knowledge essential to a complete ultrasound study. Ultrasound with its dynamic multiplanar high resolution capabilities allows the examiner to transform the acquired two-dimensional (2-D) anatomy into a more comprehensible three-dimensional (3-D) image.


Brachial Plexus Subclavian Artery Axillary Artery Brachial Plexus Block Lower Trunk 
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  1. 1.
    La Grange P, Foster P, Pretorius L. Application of the Doppler ultrasound loodflow detector in supraclavicular brachial plexus block. Br J Anaesth 1978;50(9):965–967.PubMedCrossRefGoogle Scholar
  2. 2.
    Graif M, Martinoli C, Rochkind S et al. Sonographic evaluation of brachial plexus pathology. Eur Radiol 2004;14(2):193–200.PubMedCrossRefGoogle Scholar
  3. 3.
    De Andres J, Sala-Blanch X. Ultrasound in the practice of brachial plexus anesthesia. Reg Anesth Pain Med 2002;27:77–89.PubMedCrossRefGoogle Scholar
  4. 4.
    Apan A, Baydar P, Yylmaz S et al. Surface landmarks of brachial plexus: Ultrasound and magnetic resonance imaging for supraclavicular approach with anatomical correlation. Eur J Ultrasound 2001;13(3):191–196.PubMedCrossRefGoogle Scholar
  5. 5.
    Sheppard D, Iyer R, Fenstermacher R et al. Brachial plexus: Demonstration at US. Radiology 1998;208:402–406.PubMedGoogle Scholar
  6. 6.
    Yang W, Chui P, Metreweli C. Anatomy of the normal brachial plexus revealed by sonography and the role of sonographic guidance in anesthesia of the brachial plexus. AJR 1998;171:1631–1636.PubMedCrossRefGoogle Scholar
  7. 7.
    Demondion X, Herbinet P, Boutry N et al. Sonographic mapping of the normal brachial plexus. Am J Neuroradiol 2003;24:1303–1309.PubMedGoogle Scholar
  8. 8.
    Martinoli C, Bianchi S, Santacroce E et al. Brachial plexus sonography: A technique for assessing the root level. AJR 2002;179:699–702.PubMedCrossRefGoogle Scholar
  9. 9.
    Retzl G, Kapral S, Greher M et al. Ultrasonographic findings of the axillary part of the brachial plexus. Anesth Analg 2001;92:1271–1275.PubMedCrossRefGoogle Scholar
  10. 10.
    Gray H. Brachial plexus. In: The Complete Gray’s Anatomy, 16th ed., pp. 897–909. London: Longman, Green, and Co., 1905.Google Scholar
  11. 11.
    Greher M, Retzl G, Niel P et al. Ultrasonographic assessment of topographic anatomy in volunteers suggests a modification of the infraclavicular vertical brachial plexus block. Br J Anaesth 2002;88:632–636.PubMedCrossRefGoogle Scholar
  12. 12.
    Perlas A, Chan V, Simons M. Brachial plexus examination and localization using ultrasound and electrical stimulation: A volunteer study. Anesthesiology 2003;99(2):426–435.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • John O’Neill
    • 1
  • Julian Dobranowski
    • 2
  1. 1.Staff Radiologist, Musculoskeletal Imaging Diagnostic Imaging Department St. Joseph’s HealthcareMcMaster UniversityHamiltonCanada
  2. 2.Diagnostic Imaging Department St. Joseph’s HealthcareMcMaster UniversityHamiltonCanada

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