Publications by authors named "D Justice"
Article Synopsis
- Neonatal brachial plexus palsy (NBPP) affects arm movement, and this study investigates how the timing of nerve surgery impacts long-term recovery.
- Researchers analyzed data from children who had surgery for NBPP between 2005 and 2020, comparing those who had surgery at younger vs. older ages.
- Results showed that surgery before 9 months old is linked to better recovery in shoulder and elbow movement over time, suggesting that early referral for surgery is important for optimal outcomes.
Background And Objectives: There is a relative dearth of published data with respect to recovery of upper extremity movement after nerve reconstruction for neonatal brachial plexus palsy (NBPP). This study aimed to demonstrate long-term recovery of active range of motion (AROM) at the shoulder, elbow, and forearm after nerve reconstruction for NBPP and to compare that with patients managed nonoperatively.
Methods: We interrogated a prospectively collected database of all patients evaluated for NBPP at a single institution from 2005 to 2020.
Aim: To demonstrate the trajectory of long-term recovery of upper-extremity movement and determine optimal timing of evaluation at multidisciplinary specialty centers in children with neonatal brachial plexus palsy (NBPP).
Method: All children with conservatively managed NBPP seen at one institution from 2005 to 2020 were considered for inclusion. The cohort was divided according to age at formal evaluation (≤30 or > 30 days).
The highest-impact medical literature is increasingly produced by interdisciplinary teams. The field of neurosurgery, which involves complex pathologies and recoveries, is particularly amenable to interdisciplinary research approaches. However, research in the medical context regarding the characteristics of effective teams, as well as how to develop and maintain interdisciplinary teams, remains lacking.
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