Shoulder Function Following Late Neurolysis and Bypass Grafting for Upper Brachial Plexus Birth Injuries

2004 ◽  
Vol 29 (4) ◽  
pp. 356-358 ◽  
Author(s):  
JOHN A.I. GROSSMAN ◽  
PATRICIA DITARANTO ◽  
ILKER YAYLALI ◽  
ISRAEL ALFONSO ◽  
LORNA E. RAMOS ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Shoulder Function ◽  
Bypass Grafting ◽  
Nerve Grafting ◽  
Birth Injury ◽  
Nerve Reconstruction ◽  
Shoulder Motion ◽  
Shoulder Paralysis ◽  
Brachial Plexus Birth Injury

Eleven children ranging in age from 9 to 21 months underwent late nerve reconstruction for persistent shoulder paralysis following an upper brachial plexus birth injury. Only neurolysis was performed in three patients. Neurolysis and nerve grafting bypassing the neuroma with proximal and distal end-to-side repairs was performed in the other eight. All patients were followed for 2 or more years. Two patients underwent a secondary procedure before their final follow-up evaluation. All infants demonstrated significant improvement when assessed by a modified Gilbert shoulder motion scale.

Radiographic and Clinical Outcomes of the Shoulder in Long-Term Follow-Up of Brachial Plexus Birth Injury

2020 ◽  
Vol 45 (12) ◽  
pp. 1115-1122
Author(s):  
Kristen Ploetze ◽  
Charles Goldfarb ◽  
Summer Roberts ◽  
Lindley Wall
Keyword(s):  
Brachial Plexus ◽  
Clinical Outcomes ◽  
Birth Injury ◽  
Long Term Follow Up ◽  
Brachial Plexus Birth Injury

A protocol-based treatment plan to improve shoulder function in children with brachial plexus birth injury: a comparative study

2021 ◽  
pp. 175319342110569
Author(s):  
Petra Grahn ◽  
Antti Sommarhem ◽  
Yrjänä Nietosvaara
Keyword(s):  
Brachial Plexus ◽  
External Rotation ◽  
Botulinum Toxin A ◽  
Treatment Plan ◽  
Shoulder Function ◽  
Ultrasound Screening ◽  
Birth Injury ◽  
Level Of Evidence ◽  
Posterior Shoulder ◽  
Brachial Plexus Birth Injury

Children with permanent brachial plexus birth injury have a high risk of developing posterior shoulder subluxation. In 2010, we implemented a protocol to reduce the incidence of this deformity, including early passive exercises, ultrasound screening, botulinum toxin-A injections, shoulder splinting and targeted surgeries. Two-hundred and thirty-seven consecutive children treated at our institution, with a mean follow-up of 11 years (range 1 to 17) were compared in three groups: children born from 1995 to 1999 ( n = 53), 2000–2009 ( n = 109) and 2010–2019 ( n = 75). Posterior shoulder subluxation developed in 48% of all patients but the mean age at detection of shoulder subluxation decreased from 5 years to 4.9 months. Need for shoulder relocation surgery also decreased from 28% to 7%. Mean active shoulder external rotation in adduction improved from 2° to 46°. In conclusion, our established protocol has the potential to reduce the incidence of posterior shoulder subluxation in children with brachial plexus birth injury. Level of evidence: II

Outcomes of Late Microsurgical Nerve Reconstruction for Brachial Plexus Birth Injury

2020 ◽  
Vol 45 (6) ◽  
pp. 555.e1-555.e9 ◽  
Author(s):  
Michael C. Daly ◽  
Andrea S. Bauer ◽  
Hayley Lynch ◽  
Donald S. Bae ◽  
Peter M. Waters
Keyword(s):  
Brachial Plexus ◽  
Birth Injury ◽  
Nerve Reconstruction ◽  
Brachial Plexus Birth Injury

Letter to the Editor. Nerve repair in brachial plexus birth injury

2021 ◽  
Vol 27 (1) ◽  
pp. 122-123
Author(s):  
Willem Pondaag ◽  
Justus L. Groen ◽  
Martijn J. A. Malessy
Keyword(s):  
Brachial Plexus ◽  
Nerve Repair ◽  
Birth Injury ◽  
Letter To The Editor ◽  
Brachial Plexus Birth Injury

scholarly journals Comparison of Nerve Transfer and Nerve Grafting for Restoration of External Rotation of Shoulder Function in Traumatic Brachial Plexus Injuries

2017 ◽  
Vol 42 (9) ◽  
pp. S32-S33
Author(s):  
Nina Suh ◽  
Eric R. Wagner ◽  
Michelle Kircher ◽  
Robert Spinner ◽  
Allen T. Bishop ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
External Rotation ◽  
Nerve Transfer ◽  
Shoulder Function ◽  
Nerve Grafting
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