en تخصصي Special مروری Review Article <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span new="" roman="" style="font-family:" times="">Background:</span></b><span new="" roman="" style="font-family:" times=""> Brachial plexus injury (BPI), as one of the most devastating injuries in adults, has various negative consequences such as profound functional impairment, debilitating pain, significant mental health consequences, and economic impacts.<b> </b>We aimed to review the evaluation and diagnostic-treatment Approaches of BPI in adults through a review study. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><span new="" roman="" style="font-family:" times="">&nbsp;<b>Methods: </b>An electronic literature search was completed in Google Scholar, Springer, PubMed, and Science Direct databases from 1980 to 2023. Various keywords related to the purpose such as Brachial plexus, surgical strategy, adult were used. </span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span new="" roman="" style="font-family:" times="">Results: </span></b><span new="" roman="" style="font-family:" times="">1.2% of people with multiple traumas had BPIs. BPI is more common in young adult males. <span style="color:black">For brachial plexus palsy, preoperative evaluation of nerve root avulsion is helpful in surgical planning. . EMG is useful in confirming a diagnosis, localizing the lesion level, estimating the extent of axon loss, and determining whether the lesion is complete.</span> There are different options available for BPI, such as coordinating care, rehabilitation and <span style="color:black">psychosocial support</span><b>. </b><span style="color:black">In recent times, significant advancements have been made in surgical techniques for nerve repairs.</span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:150%"><span style="unicode-bidi:embed"><span sans-serif="" style="font-family:Calibri,"><b><span new="" roman="" style="font-family:" times="">Conclusion</span></b><span new="" roman="" style="font-family:" times="">: Although it is often not possible to prevent damage to the brachial plexus, it is possible to reduce the risk of further problems after the injury by taking some measures.<b> </b></span></span></span></span></span><br> &nbsp; Brachial plexus, Surgical strategy, Adult 41 48 http://wjps.ir/browse.php?a_code=A-10-448-6&slc_lang=en&sid=1 Afsaneh Bagheri 100319475328460016184 100319475328460016184 No Department of Plastic and Reconstructive Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Hossein Akbari Hakbari1339@gmail.com 100319475328460016185 100319475328460016185 Yes Department of Plastic and Reconstructive Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran Peyman Akbari 100319475328460016186 100319475328460016186 No Department of Plastic and Reconstructive Surgery, School of Medicine, Iran University of Medical Sciences, Tehran, Iran