Relationship of age and type of obstetric brachial plexus paralysis in forearm pronosupination☆
نویسندگان
چکیده
OBJECTIVE To evaluate the arc of forearm pronosupination of patients with sequelae of birth paralysis and correlate with these variables. METHODS 32 children aged between 4 and 14 years with total or partial lesions of the brachial plexus were evaluated; measurements of pronation and supination, active and passive, were made, both on the injured side and the unaffected side. RESULTS A statistically significant difference was observed between the injured side and the normal side, but there was no difference between the groups regarding age or type of injury. CONCLUSION The age and type of injury did not impact on the limitation of the forearm pronosupination in children with sequelae of birth paralysis.
منابع مشابه
Evidence of the Effectiveness of Primary Brachial Plexus Surgery in Infants With Obstetric Brachial Plexus Palsy–Revisited
A recent systematic review questioned the effectiveness of primary surgery in infants with obstetric brachial plexus palsy. At our center, the indication for primary surgery in infants with upper Erb's obstetric palsy is the lack of active elbow flexion at age 4 months. The current study compares the outcome of motor recovery in 2 groups of infants with upper Erb's palsy: one group (n = 9) trea...
متن کاملSurgical strategy for improving forearm and hand function in late obstetric brachial plexus palsy.
For the purpose of treatment, obstetric brachial plexus palsy can be subdivided into two distinct phases: initial obstetric brachial plexus palsy, and late obstetric brachial plexus palsy. In the latter, nerve surgery is no longer practical, and treatment often requires palliative surgery to improve function of the shoulder, elbow, forearm, and hand. Late obstetric brachial plexus palsy in the ...
متن کاملBilateral obstetric brachial plexus paralysis: a case report.
BACKGROUND Whereas cases of unilateral obstetric brachial plexus paralysis have been sufficiently described and discussed in the literature cases of bilateral obstetric brachial plexus paralysis are extremely rare and so far have not been mentioned and discussed satisfactorily. PATIENTS We present a case of bilateral obstetric brachial plexus paralysis in an 8-months-old white boy. We perform...
متن کاملNerve 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...
متن کاملMedian Nerve to Biceps Nerve Transfer to Restore Elbow Flexion in Obstetric Brachial Plexus Palsy
Median nerve to biceps nerve transfer in the arm has been reported only in adults. The following paper reports on 10 cases of this transfer in obstetric brachial plexus palsy. All patients had upper palsy (ERb's or extended ERb's palsy) and presented to the author late (13-19 months of age) with poor or no recovery of elbow flexion. Following the nerve transfer, nine children recovered elbow fl...
متن کامل