Dear Editor, The aim of this paper is to demonstrate the option of triceps muscle restoration by means of selective neurotisation of the radial nerve in children suffering from obstetrical brachial plexus palsy (OBPP) during their early years of life. Early nerve surgery, which includes both brachial plexus reconstruction and nerve transfers, is generally accepted as the best option for treatin...

OBJECTIVE The objective of this study was to establish an evidence-based clinical practice guideline for the primary management of obstetrical brachial plexus injury (OBPI). This clinical practice guideline addresses 4 existing gaps: (1) historic poor use of evidence, (2) timing of referral to multidisciplinary care, (3) Indications and timing of operative nerve repair and (4) distribution of e...

We did a case-control study to verify if the birthweight, forceps delivery or perinatal asphyxia have any significant effect on the prognosis of obstetrical brachial plexopathy. Group A was composed of 25 infants who completely recovered at the age of 6 months. Group B was composed of 21 infants who were still not able to remove a blindfold from the face with the affected limb in the sitting po...

This presentation will summarize some of the controversies I found treating these devastating injuries. The brachial plexus injuries are amongst the most challenging cases that a hand surgeon can face in his career. The normal variations of the brachial plexus anatomy, the complexity of the injured poli-trauma patients and the current standard algorithms of treatment can be questioned in light ...

INTRODUCTION Perinatal brachial plexus palsies can be divided into upper (C5-C6), upper-middle (C5-C6-C7) and total injuries (C5-Th1). The study aimed to evaluate the results of surgical repair in the different types of palsies. MATERIAL AND METHODS The patient population comprised 80 children who underwent primary repair of the brachial plexus (external neurolysis, internal neurolysis, direc...

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...