Severe obstetric brachial plexus lesions can be identified at one month of age
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Severe Obstetric Brachial Plexus Palsies Can Be Identified at One Month of Age
OBJECTIVE To establish whether severe obstetric brachial plexus palsy (OBPP) can be identified reliably at or before three months of age. METHODS Severe OBPP was defined as neurotmesis or avulsion of spinal nerves C5 and C6 irrespective of additional C7-T1 lesions, assessed during surgery and confirmed by histopathological examination. We first prospectively studied a derivation group of 48 i...
متن کاملCorrelating birthweight with neurological severity of obstetric brachial plexus lesions.
OBJECTIVE To investigate the nature and extent of neurosurgically treated obstetric plexus lesions with obstetric and neonatal precedents. DESIGN Retrospective analysis of prospectively collected data. SETTING Leiden, the Netherlands. POPULATION A 9-year cohort of infants (n = 206) neurosurgically treated for obstetric brachial plexus lesion at a tertiary referral centre for nerve lesions...
متن کاملResults of end-to-side nerve coaptation in severe obstetric brachial plexus lesions.
OBJECTIVE Options for nerve repair are limited in brachial plexus lesions with multiple root avulsions because an insufficient number of proximal nerve stumps are available to serve as lead-out for nerve grafts. End-to-side nerve repair might be an alternative surgical technique for repair of such severe lesions. In this technique, an epineurial window is created in a healthy nerve, and the dis...
متن کاملNeonatal Obstetric Trauma in a Hospital in the Suburbs of Dakar, Senegal
Introduction: Neonatal obstetric traumas remain an important cause of morbidity-mortality. The objective of this study was to study obstetric traumatic lesions of the new-born in the paediatric department of the Centre hospitalier Roi Baudouin. Patients and method: This was a descriptive retrospective study of new-borns with obstetric trauma received at the Centre hospitalier Roi Baudouin’s pae...
متن کاملEvidence 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...
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