Open Access

Biomechanical analysis of brachial plexus injury: Availability of three-dimensional finite element model of the brachial plexus

  • Authors:
    • Atsushi Mihara
    • Tsukasa Kanchiku
    • Norihiro Nishida
    • Haruki Tagawa
    • Junji Ohgi
    • Hidenori Suzuki
    • Yasuaki Imajo
    • Masahiro Funaba
    • Daisuke Nakashima
    • Xian Chen
    • Toshihiko Taguchi
  • View Affiliations

  • Published online on: December 11, 2017     https://doi.org/10.3892/etm.2017.5607
  • Pages:1989-1993
  • Copyright: © Mihara et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Adult brachial plexus injuries frequently lead to significant and permanent physical disabilities. Investigating the mechanism of the injury using biomechanical approaches may lead to further knowledge with regard to preventing brachial plexus injuries. However, there are no reports of biomechanical studies of brachial plexus injuries till date. Therefore, the present study used a complex three‑dimensional finite element model (3D‑FEM) of the brachial plexus to analyze the mechanism of brachial plexus injury and to assess the validity of the model. A complex 3D‑FEM of the spinal column, dura mater, spinal nerve root, brachial plexus, rib bone and cartilage, clavicle, scapula, and humerus were conducted. Stress was applied to the model based on the mechanisms of clinically reported brachial plexus injuries: Retroflexion of the cervical, lateroflexion of the cervical, rotation of the cervical, and abduction of the upper limb. The present study analyzed the distribution and strength of strain applied to the brachial plexus during each motion. When the cervical was retroflexed or lateroflexed, the strain was focused on the C5 nerve root and the upper trunk of the brachial plexus. When the upper limb was abducted, strain was focused on the C7 and C8 nerve roots and the lower trunk of the brachial plexus. The results of brachial plexus injury mechanism corresponded with clinical findings that demonstrated the validity of this model. The results of the present study hypothesized that the model has a future potential for analyzing pathological conditions of brachial plexus injuries and other injuries or diseases, including that of spine and spinal nerve root.

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February 2018
Volume 15 Issue 2

Print ISSN: 1792-0981
Online ISSN:1792-1015

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APA
Mihara, A., Kanchiku, T., Nishida, N., Tagawa, H., Ohgi, J., Suzuki, H. ... Taguchi, T. (2018). Biomechanical analysis of brachial plexus injury: Availability of three-dimensional finite element model of the brachial plexus. Experimental and Therapeutic Medicine, 15, 1989-1993. https://doi.org/10.3892/etm.2017.5607
MLA
Mihara, A., Kanchiku, T., Nishida, N., Tagawa, H., Ohgi, J., Suzuki, H., Imajo, Y., Funaba, M., Nakashima, D., Chen, X., Taguchi, T."Biomechanical analysis of brachial plexus injury: Availability of three-dimensional finite element model of the brachial plexus". Experimental and Therapeutic Medicine 15.2 (2018): 1989-1993.
Chicago
Mihara, A., Kanchiku, T., Nishida, N., Tagawa, H., Ohgi, J., Suzuki, H., Imajo, Y., Funaba, M., Nakashima, D., Chen, X., Taguchi, T."Biomechanical analysis of brachial plexus injury: Availability of three-dimensional finite element model of the brachial plexus". Experimental and Therapeutic Medicine 15, no. 2 (2018): 1989-1993. https://doi.org/10.3892/etm.2017.5607