Cortical dysplasia and obstetrical brachial plexus palsy.

Causes of neonatal brachial plexus palsy.

The causes of brachial plexus palsy in neonates should be classified according to their most salient associated feature. The causes of brachial plexus palsy are obstetrical brachial plexus palsy, familial congenital brachial plexus palsy, maternal uterine malformation, congenital varicella syndrome, osteomyelitis involving the proximal head of the humerus or cervical vertebral bodies, exostosis...

Extending the Indications for Primary Nerve Surgery in Obstetrical Brachial Plexus Palsy

PURPOSE This study identifies a small subset of patients with obstetrical brachial plexus palsy who, while they do not meet common surgical indications, may still benefit from primary nerve surgery. METHODS Between April 2004 and April 2009, 17 patients were offered primary nerve surgery despite not meeting the standard surgical indications of the authors. The authors performed a retrospectiv...

Nerve transfer to biceps to restore elbow flexion and supination in children with obstetrical brachial plexus palsy

Purpose Nerve transfers to restore elbow flexion have been described for traumatic brachial plexus palsy in adults. Indications are less frequent in infants and the results are less published. Methods Ten patients with obstetrical brachial plexus palsy were operated on for lack of flexion against gravity with ulnar or median nerve transfer to biceps motor branch. The primary endpoint was impr...

OBSTETRICAL BRACHIAL PLEXUS PALSY Akademisk avhandling

Clinical and neuropathological study about the neurotization of the suprascapular nerve in obstetric brachial plexus lesions

BACKGROUND The lack of recovery of active external rotation of the shoulder is an important problem in children suffering from brachial plexus lesions involving the suprascapular nerve. The accessory nerve neurotization to the suprascapular nerve is a standard procedure, performed to improve shoulder motion in patients with brachial plexus palsy. METHODS We operated on 65 patients with obstet...