Severity of upper limb discrepancies affect the postural balance in children with obsteric brachial plexus palsy (pilot study)

ABSTRACT The treatment of complete post-traumatic brachial plexus palsy resulting in a flail shoulder and upper extremity remains a challenge to peripheral nerve surgeons. The option of upper limb amputation is controversial and scarcely discussed in the literature. We believe that elective amputation still has a role in the treatment of select cases. The pros and cons of the procedure should be intensely discussed with the patient by a multidisciplinary team. Better outcomes are usually achieved in active patients who strongly advocate for the procedure.

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Congenital brachial plexus palsy

10.1093/med/9780199550647.003.013012 ◽

2011 ◽

Author(s):

Marco Sinisi

Keyword(s):

Brachial Plexus ◽

Upper Limb ◽

Hand Function ◽

Shoulder Function ◽

Mechanism Of Injury ◽

Brachial Plexus Palsy ◽

Surgical Exploration

♦ The congenital brachial plexus palsy is significantly different from the adult injury♦ The mechanism of injury is invariably traction♦ Classifying the lesion at 1–2 weeks of age aids with prognosis and management♦ Surgical exploration and repair is indicated early in selected cases♦ Good shoulder function is essential for a useful upper limb♦ Recovery of hand function is slow and may continue until age 5 years.

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Obstetric Brachial Plexus Lesions: A Study of 74 Children Registered with the British Paediatric Surveillance Unit (March 1998–March 1999)

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.2002.0841 ◽

2003 ◽

Vol 28 (1) ◽

pp. 40-45 ◽

Cited By ~ 53

Author(s):

G. L. BISINELLA ◽

R. BIRCH

Keyword(s):

Brachial Plexus ◽

Upper Limb ◽

Surgical Correction ◽

Brachial Plexus Palsy ◽

Obstetric Brachial Plexus Palsy ◽

Good Function ◽

Secondary Deformity ◽

Obstetric Brachial Plexus ◽

Shoulder Deformity ◽

Surveillance Unit

Seventy-four children with obstetric brachial plexus palsy registered with the British Paediatric Surveillance Unit were prospectively followed for a minimum of 2 years. Thirty-nine (52.7%) spontaneously recovered to normal or nearly normal levels and a further 29 (39.3%) regained good function in the upper limb. The most important secondary deformity involved the gleno-humeral joint and 20 patients (27%) needed surgical correction. Two more children await operation for shoulder deformity. The brachial plexus was explored in nine patients (12.2%) and repaired in seven.

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Does the Functional Status of the Upper Limb Influence the Limb Length Discrepancy in a Child With Birth Brachial Plexus Palsy?

The Journal Of Hand Surgery ◽

10.1016/j.jhsa.2018.06.047 ◽

2018 ◽

Vol 43 (9) ◽

pp. S16

Author(s):

Praveen Bhardwaj ◽

R. Raja Sabapathy ◽

Hari Venkatramani ◽

Dipak Malokar ◽

Bindesh Dadi

Keyword(s):

Brachial Plexus ◽

Functional Status ◽

Upper Limb ◽

Limb Length Discrepancy ◽

Limb Length ◽

Brachial Plexus Palsy ◽

Length Discrepancy ◽

Birth Brachial Plexus Palsy

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EFFECTS OF CONVERSATIONAL HYPNOSIS ON RELATIVE PARASYMPATHETIC TONE AND PATIENT COMFORT DURING AXILLARY BRACHIAL PLEXUS BLOCKS FOR AMBULATORY UPPER LIMB SURGERY:A Quasiexperimental Pilot Study

International Journal of Clinical and Experimental Hypnosis ◽

10.1080/00207144.2018.1421355 ◽

2018 ◽

Vol 66 (2) ◽

pp. 134-146 ◽

Cited By ~ 5

Author(s):

Emmanuel Boselli ◽

Hervé Musellec ◽

Franck Bernard ◽

Nicolas Guillou ◽

Pierre Hugot ◽

...

Keyword(s):

Pilot Study ◽

Brachial Plexus ◽

Upper Limb ◽

Patient Comfort ◽

Parasympathetic Tone

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Assessment of the Motor Power in Older Children with Obstetric Brachial Plexus Palsy

Journal of Hand Surgery (European Volume) ◽

10.1054/jhsb.2002.0831 ◽

2003 ◽

Vol 28 (1) ◽

pp. 46-49 ◽

Cited By ~ 23

Author(s):

M. M. AL-QATTAN

Keyword(s):

Brachial Plexus ◽

Upper Limb ◽

Grading System ◽

Motor Power ◽

Brachial Plexus Palsy ◽

Older Children ◽

Obstetric Brachial Plexus Palsy ◽

King Saud University ◽

Grading Systems ◽

Obstetric Brachial Plexus

The King Saud University (KSU) muscle grading system used for assessing the upper limb in older children with obstetric brachial plexus palsy is presented and compared to other muscle grading systems.

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