Diagnostic accuracy of MRI for detecting nerve injury in brachial plexus birth injury.

ABSTRACT:

Objectives

To determine the diagnostic accuracy of MRI for diagnosing nerve injury in brachial plexus birth injury (BPBI).

Methods

Electronic databases were searched from inception to February 15, 2023 for studies reporting the accuracy of MRI (index test) compared to surgical exploration (reference standard) in detecting the target conditions of: root avulsion, any nerve abnormality, and pseudomeningocele (as a marker of root avulsion) in children with BPBI. Meta-analysis using a bivariate model was performed where data allowed.

Results

Eight studies met the inclusion criteria. In total, 116 children with BPBI were included. All included studies were at risk of bias. The mean sensitivity and mean specificity of MRI for detecting root avulsion was 68% (95% CI: 55%, 79

SUBMITTER: Brooks J 

PROVIDER: S-EPMC11652713 | biostudies-literature | 2025 Jan

REPOSITORIES: biostudies-literature