SPECIAL FOCUS: Upper ExtremityTraumatic brachial plexus injuriesPensy, Raymond A.Author Information Division of Orthopaedic Traumatology, Department of Orthopaedics, University of Maryland, Baltimore, Maryland Correspondence to Raymond A. Pensy, MD, Division of Orthopaedic Traumatology, Department of Orthopaedics, University of Maryland, R Adams Cowley Shock Trauma Center, 22 South Greene Street, Baltimore, MD 21201 Tel: +410 328 6280; fax: +410 328 2893; e-mail: firstname.lastname@example.org Current Orthopaedic Practice: September 2010 - Volume 21 - Issue 5 - p 462-466 doi: 10.1097/BCO.0b013e3181ee2acd Buy Metrics Abstract Although brachial plexus trauma continues to be a daunting reconstructive challenge for upper extremity surgeons, remarkable progress has been made over the last 2 decades. Thanks to the tireless work of clinicians, scientists and surgeons, even patients who have sustained pan plexus avulsion injuries may have some hope in regaining useful upper extremity function. Encouraging results are being presented in the restoration of extremity function after these devastating injuries through an innovative and thoughtful combination of reconstructive strategies that include nerve repair and grafting, as well as nerve and free functional muscle transfers. The exhaustive efforts of a handful of individuals are now coming to light in the current literature. The intent of this review was to present some of the most recent innovations and thoughts behind the current management of adult brachial plexus trauma and reconstruction. © 2010 Lippincott Williams & Wilkins, Inc.