A 2.75-month-old male infant was referred to our institution due to persistent hip subluxation despite 3 weeks of treatment in a Pavlik harness. Harness treatment was continued for 2 more weeks until it was noted that his left upper extremity function, which had been normal previously, had changed. Radiographs showed no bony abnormality. A compression or traction injury to his brachial plexus from the downward pull of the harness straps, possibly related to his relatively large size, was believed to be causative. Use of the harness was discontinued immediately, and his upper extremity motor function quickly returned to normal.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/01241398-199409000-00024 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Early MRI Can Predict the Indication for Surgery in Brachial Plexus Birth Injury: Results of the NAPTIME Study.
J Bone Joint Surg Am
January 2025
Shriners Children's Northern California, Sacramento, California.
Background: Magnetic resonance imaging (MRI) has not been routinely used for infants with brachial plexus birth injury (BPBI); instead, the decision to operate is based on the trajectory of clinical recovery by 6 months of age. The aim of this study was to develop an MRI protocol that can be performed without sedation or contrast in order to identify infants who would benefit from surgery at an earlier age than the age at which that decision could be made clinically.
Methods: This prospective multicenter NAPTIME (Non-Anesthetized Plexus Technique for Infant MRI Evaluation) study included infants aged 28 to 120 days with BPBI from 3 tertiary care centers.
Modified musculofascial lengthening technique for submuscular ulnar nerve transposition in cubital tunnel syndrome.
PLoS One
January 2025
Department of Orthopedic Surgery, Asan Medical Center, University of Ulsan College of Medicine, Songpa-gu, Seoul, Republic of Korea.
Objective: Cubital tunnel syndrome is a common peripheral neuropathy of the upper extremity. Anterior transposition of the ulnar nerve is an established surgical treatment option for this condition. This study aimed to introduce a novel musculofascial lengthening technique that uses only a portion of the flexor-pronator muscle mass for submuscular anterior transposition of the ulnar nerve and investigate its clinical outcomes.
View Article and Find Full Text PDFRethinking brachial plexus birth palsy: Beyond physician blame.
J Hand Microsurg
January 2025
Department of Obstetrics and Gynecology, Olympia Hospital & Research Centre, 47, 47A Puthur High Road, Puthur, Trichy, Tamilnadu, 620017, India.
Brachial plexus birth palsy, a devastating injury affecting newborns, has long been a source of contention and misunderstanding. This article aims to dispel the myth that healthcare providers are solely responsible for these injuries, presenting evidence that highlights the complex interplay of maternal, fetal, and biological factors in their causation. By shifting the narrative away from blame and towards a more comprehensive understanding, we can foster a more supportive and informed approach to childbirth.
View Article and Find Full Text PDFSafety and efficacy of outpatient versus inpatient adult brachial plexus surgery.
J Hand Microsurg
January 2025
OrthoCarolina Hand Center, Charlotte, NC, USA.
Purpose: Outpatient orthopedic surgery is becoming more common as a method of providing safe and cost-effective medical care. The purpose of this study was to compare outcomes between adult patients undergoing outpatient versus inpatient brachial plexus surgery.
Methods: A single institution database was queried for patients with brachial plexus injuries undergoing brachial plexus exploration with or without concomitant reconstructive procedures from 2010 to 2022.
Patient Perspectives on Interdisciplinary Peripheral Nerve Trauma Care.
Plast Surg (Oakv)
February 2025
Faculty of Medicine, University of British Columbia, Vancouver, Canada.
Peripheral nerve injury (PNI) is a complex, debilitating condition that is increasingly being treated in interdisciplinary clinics. Patients see peripheral nerve surgeons, neurologists, physiatrists, and electrodiagnostic technicians in a single encounter. No studies have evaluated patient experience within this unique interdisciplinary care model.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!