Early combined neurosurgery and orthopaedic surgery in Neonatal Brachial Plexus Palsy.

Hand Surg

Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, St. Leonards, NSW, Australia.

Published: November 2011

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/S0218810411005254DOI Listing

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