Letter regarding “Early electrodiagnosis in the management of neonatal brachial plexus palsy: A systematic review”

2020 ◽  
Vol 62 (4) ◽  
Author(s):  
Andreas Rehm ◽  
Azeem Thahir
Keyword(s):  
Systematic Review ◽  
Brachial Plexus ◽  
Brachial Plexus Palsy ◽  
Neonatal Brachial Plexus Palsy

Early electrodiagnosis in the management of neonatal brachial plexus palsy: A systematic review

2019 ◽  
Vol 61 (5) ◽  
pp. 557-566 ◽  
Author(s):  
Ruth Looven ◽  
Laura Le Roy ◽  
Emma Tanghe ◽  
Christine Broeck ◽  
Martine Muynck ◽  
...  
Keyword(s):  
Systematic Review ◽  
Brachial Plexus ◽  
Brachial Plexus Palsy ◽  
Neonatal Brachial Plexus Palsy

Risk factors for neonatal brachial plexus palsy: a systematic review and meta‐analysis

2019 ◽  
Vol 62 (6) ◽  
pp. 673-683 ◽  
Author(s):  
Ruth Van der Looven ◽  
Laura Le Roy ◽  
Emma Tanghe ◽  
Bieke Samijn ◽  
Ellen Roets ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Brachial Plexus ◽  
Meta Analysis ◽  
Brachial Plexus Palsy ◽  
Neonatal Brachial Plexus Palsy

scholarly journals Peripartum and neonatal factors associated with the persistence of neonatal brachial plexus palsy at 1 year: a review of 382 cases

2016 ◽  
Vol 17 (5) ◽  
pp. 618-624 ◽  
Author(s):  
Thomas J. Wilson ◽  
Kate W. C. Chang ◽  
Suneet P. Chauhan ◽  
Lynda J. S. Yang
Keyword(s):  
Brachial Plexus ◽  
Prediction Algorithm ◽  
University Of Michigan ◽  
Brachial Plexus Palsy ◽  
Factors Associated ◽  
Neonatal Brachial Plexus Palsy ◽  
Active Range Of Motion ◽  
Wide Range ◽  
Nerve Surgery ◽  
The University

OBJECTIVE Neonatal brachial plexus palsy (NBPP) occurs due to the stretching of the nerves of the brachial plexus before, during, or after delivery. NBPP can resolve spontaneously or become persistent. To determine if nerve surgery is indicated, predicting recovery is necessary but difficult. Historical attempts explored the association of recovery with only clinical and electrodiagnostic examinations. However, no data exist regarding the neonatal and peripartum factors associated with NBPP persistence. METHODS This retrospective cohort study involved all NBPP patients at the University of Michigan between 2005 and 2015. Peripartum and neonatal factors were assessed for their association with persistent NBPP at 1 year, as defined as the presence of musculoskeletal contractures or an active range of motion that deviated from normal by > 10° (shoulder, elbow, hand, and finger ranges of motion were recorded). Standard statistical methods were used. RESULTS Of 382 children with NBPP, 85% had persistent NBPP at 1 year. A wide range of neonatal and peripartum factors was explored. We found that cephalic presentation, induction or augmentation of labor, birth weight > 9 lbs, and the presence of Horner syndrome all significantly increased the odds of persistence at 1 year, while cesarean delivery and Narakas Grade I to II injury significantly reduced the odds of persistence. CONCLUSIONS Peripartum/neonatal factors were identified that significantly altered the odds of having persistent NBPP at 1 year. Combining these peripartum/neonatal factors with previously published clinical examination findings associated with persistence should allow the development of a prediction algorithm. The implementation of this algorithm may allow the earlier recognition of those cases likely to persist and thus enable earlier intervention, which may improve surgical outcomes.

scholarly journals Medical Decision-Making among Adolescents with Neonatal Brachial Plexus Palsy and Their Families

2013 ◽  
Vol 131 (6) ◽  
pp. 880e-887e ◽  
Author(s):  
Lee Squitieri ◽  
Bradley P. Larson ◽  
Kate W.-C. Chang ◽  
Lynda J.-S. Yang ◽  
Kevin C. Chung
Keyword(s):  
Decision Making ◽  
Brachial Plexus ◽  
Medical Decision Making ◽  
Medical Decision ◽  
Brachial Plexus Palsy ◽  
Neonatal Brachial Plexus Palsy

Neonatal brachial plexus palsy with vaginal birth after cesarean delivery: a case-control study

2013 ◽  
Vol 208 (3) ◽  
pp. 229.e1-229.e5 ◽  
Author(s):  
Ibrahim A. Hammad ◽  
Suneet P. Chauhan ◽  
Robert B. Gherman ◽  
Joseph G. Ouzounian ◽  
James B. Hill ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Cesarean Delivery ◽  
Case Control Study ◽  
Case Control ◽  
Vaginal Birth ◽  
Brachial Plexus Palsy ◽  
Vaginal Birth After Cesarean ◽  
Neonatal Brachial Plexus Palsy ◽  
Control Study
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