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

2003 ◽  
Vol 28 (1) ◽  
pp. 40-45 ◽  
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.

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

2003 ◽  
Vol 28 (1) ◽  
pp. 46-49 ◽  
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.

scholarly journals Treatment approach to shoulder internal rotation deformity in children with obstetric brachial plexus palsy

2018 ◽  
Vol 6 (2) ◽  
pp. 22-28 ◽  
Author(s):  
Olga E. Agranovich ◽  
Anatoly B. Oreshkov ◽  
Evgeniya F. Mikiashvili
Keyword(s):  
Brachial Plexus ◽  
Internal Rotation ◽  
Upper Limb ◽  
Glenohumeral Joint ◽  
Brachial Plexus Palsy ◽  
Limb Function ◽  
Obstetric Brachial Plexus Palsy ◽  
Tendon Transfers ◽  
Upper Limb Function ◽  
Obstetric Brachial Plexus

Introduction. Shoulder internal rotation contracture is the most common deformity affecting the shoulder in patients with obstetric brachial plexus palsy because of the subsequent imbalance of the musculature and the abnormal deforming forces that cause dysplasia of the glenohumeral joint. Aim. To assess the effects of tendon transfers in children with shoulder internal rotation deformity due to obstetric brachial plexus palsy. Materials and methods. From 2015 to 2017, we examined and treated 15 patients with shoulder internal rotation deformity caused by obstetric brachial plexus palsy. The children ranged in age from 4 to 17 years. We used clinical and radiographic examination methods, including magnetic resonance imaging, electromyography, and electroneuromyography, of the upper limbs. Results. According to the level of plexus brachialis injury, the patients were divided into 3 groups: level С5–С6 (9 patients), level C5–C7 (5 children), level С5–Th1 (1 patient). All children had secondary shoulder deformities: glenohumeral dysplasia type II, 6 (40%); type III, 5 (34%); type IV, 1 (6%); and type V, 3 (20%). The Mallet score was used for estimation of upper limb function. Surgical treatment was performed in 15 children. After treatment, all patients showed improvement in activities of daily living. Conclusion. Tendon transfers in patients with shoulder internal rotation deformities due to obstetric brachial plexus palsy improved upper limb function and provided satisfactory cosmetic treatment results without of remodeling of the glenohumeral joint.

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