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April 16, 1982

Management of Brachial Plexus Palsies-Reply

Author Affiliations

Rancho Los Amigos Hospital Downey, Calif

JAMA. 1982;247(15):2100. doi:10.1001/jama.1982.03320400019022

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In Reply.—  Dr Iacono quite properly adds this important neurosurgical technique to the discussion of brachial plexus palsy rehabilitation. All of our adults with pain and no neurological return were referred to us after neurosurgical evaluations. Three of the nine with refractory pain had undergone dorsal root neurosurgical procedures, without success, before referral here.This points up the need for the interdisciplinary approach in these complex areas. Unfortunately, in this regard, we also neglected to recognize the input of our orthotist, Jack Greenfield, CO, creator of the "gunslinger" brace used for these patients.