Three cases are presented in which neurosurgical reconstruction of a Neonatal Brachial Plexus Palsy was combined with orthopaedic reconstruction of a posterior glenohumeral dislocation. The authors believe that a combined procedure is indicated if the neurological deficit meets the criteria for neural reconstruction and the complication of a posterior glenohumeral dislocation has occurred prior to nerve surgery. Two children with C5-6 lesions and a third child with a pan-plexus lesion obtained good shoulder function following the combined reconstruction.
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http://dx.doi.org/10.1142/S0218810411005254 | DOI Listing |
Bioengineering (Basel)
January 2025
School of Biomedical Engineering, Science and Health Systems, Drexel University, Philadelphia, PA 19104, USA.
Background: A brachial plexus avulsion occurs when the nerve root separates from the spinal cord during birthing trauma, such as shoulder dystocia or a difficult vaginal delivery. A complete paralysis of the affected levels occurs post-brachial plexus avulsion. Despite being reported in 10-20% of brachial plexus birthing injuries, it remains poorly diagnosed during the acute stages of injury, leading to poor intervention approaches.
View Article and Find Full Text PDFFront Surg
January 2025
Department of Clinical Sciences, Umeå University, Umeå, Sweden.
Background: We analyzed trends in age at surgery and surgical approach over time and geography.
Methods: We performed a systematic review according to PRISMA-IPD guidelines to include individual patient data. Collected data included age at surgery, location of surgery, and surgical approach.
J Clin Med
December 2024
Unit of Hand Surgery, Microsurgery and Reconstructive, Department of Orthopaedics and Traumatology, CTO Hospital, 10126 Turin, Italy.
Neonatal brachial plexus palsy (NBPP) is a flaccid paralysis of the upper limbs that occurs in about 0.4 percent of live births. This condition can produce permanent disabilities; to date, there is no consensus on protocols to be applied for the rehabilitation of children with this condition.
View Article and Find Full Text PDFJAMA Netw Open
January 2025
Department of Obstetrics & Gynecology, Oregon Health & Science University, Portland.
J Hand Surg Asian Pac Vol
February 2025
Alzhraa University Hospital, Faculty of Medicine for Girls, Al-Azhar University, Cairo, Egypt.
The transfer of latissimus dorsi (LD) and teres major (TM) have been described for restoration of external rotation (ER) and shoulder abduction in neonatal brachial plexus palsy (NBPP). The aim of this prospective randomised study is to compare the outcomes of LD versus TM transfer in the treatment of internal rotation contracture of the shoulder in children with NBPP. The study was conducted from February 2014 to January 2018 and included NBPP patients with internal rotation contracture of the shoulder.
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