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

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

scholarly journals Could Subtle Obstetrical Brachial Plexus Palsy Be Related to Unilateral B Glenoid Osteoarthritis?

2021 ◽  
Vol 10 (6) ◽  
pp. 1196
Author(s):  
Alexandre Lädermann ◽  
Hugo Bothorel ◽  
Philippe Collin ◽  
Bassem Elhassan ◽  
Luc Favard ◽  
...  
Keyword(s):  
Risk Factors ◽  
General Population ◽  
Brachial Plexus ◽  
Meta Analysis ◽  
Shoulder Dystocia ◽  
Type B ◽  
Brachial Plexus Palsy ◽  
Normal Range ◽  
Breech Delivery ◽  
Obstetrical Brachial Plexus Palsy

Background: Several factors associated with B glenoid are also linked with obstetrical brachial plexus palsy (OBPP). The purpose of this observational study was to determine the incidence of OBPP risk factors in type B patients. Methods: A cohort of 154 patients (68% men, 187 shoulders) aged 63 ± 17 years with type B glenoids completed a questionnaire comprising history of perinatal characteristics related to OBPP. A literature review was performed following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) to estimate the incidence of OBPP risk factors in the general population. Results: Twenty-seven patients (18%) reported one or more perinatal OBPP risk factors, including shoulder dystocia (n = 4, 2.6%), macrosomia >4 kg (n = 5, 3.2%), breech delivery (n = 6, 3.9%), fetal distress (n = 8, 5.2%), maternal diabetes (n = 2, 1.3%), clavicular fracture (n = 2, 1.3%), and forceps delivery (n = 4, 2.6%). The comparison with the recent literature suggested that most perinatal OBPP risk factors were within the normal range, although the incidence of shoulder dystocia, forceps and vaginal breech deliveries exceeded the average rates. Conclusion: Perinatal factors related to OBPP did not occur in a higher frequency in patients with Walch type B OA compared to the general population, although some of them were in the high normal range.

Recovery of shoulder abduction in traumatic brachial plexus palsy: a systematic review and meta-analysis of nerve transfer versus nerve graft

2019 ◽  
Vol 43 (3) ◽  
pp. 951-956
Author(s):  
Nathan Hardcastle ◽  
Pavlos Texakalidis ◽  
Purva Nagarajan ◽  
Muhibullah S. Tora ◽  
Nicholas M. Boulis
Keyword(s):  
Systematic Review ◽  
Brachial Plexus ◽  
Meta Analysis ◽  
Nerve Transfer ◽  
Nerve Graft ◽  
Shoulder Abduction ◽  
Brachial Plexus Palsy

Meta-analysis of Function After Secondary Shoulder Surgery in Neonatal Brachial Plexus Palsy

2013 ◽  
Vol 33 (6) ◽  
pp. 656-663 ◽  
Author(s):  
Emily J. Louden ◽  
Chad A. Broering ◽  
Charles T. Mehlman ◽  
William C. Lippert ◽  
Jesse Pratt ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Meta Analysis ◽  
Shoulder Surgery ◽  
Brachial Plexus Palsy ◽  
Neonatal Brachial Plexus Palsy ◽  
Analysis Of Function

Elbow flexion in neonatal brachial plexus palsy: a meta-analysis of graft versus transfer

2019 ◽  
Vol 35 (6) ◽  
pp. 929-935
Author(s):  
Muhibullah S. Tora ◽  
Nathan Hardcastle ◽  
Pavlos Texakalidis ◽  
Jeremy Wetzel ◽  
Joshua J. Chern
Keyword(s):  
Brachial Plexus ◽  
Meta Analysis ◽  
Elbow Flexion ◽  
Brachial Plexus Palsy ◽  
Neonatal Brachial Plexus Palsy

scholarly journals Elbow Flexion in Neonatal Brachial Plexus Palsy: A Meta-Analysis of Graft Versus Transfer

Neurosurgery ◽  
2019 ◽  
Vol 66 (Supplement_1) ◽  
Author(s):  
Muhibullah S Tora ◽  
Nathan Hardcastle ◽  
Pavlos Texakalidis ◽  
Jeremy Wetzel ◽  
Joshua J Chern
Keyword(s):  
Brachial Plexus ◽  
Functional Recovery ◽  
Meta Analysis ◽  
Donor Site ◽  
Nerve Transfer ◽  
Elbow Flexion ◽  
Active Movement ◽  
Nerve Grafting ◽  
Brachial Plexus Palsy ◽  
Neonatal Brachial Plexus Palsy

Abstract INTRODUCTION Functional elbow flexion recovery is one of the main goals of neonatal brachial plexus palsy (NBPP) reconstruction. The current neurosurgical treatment options include nerve grafting and nerve transfer. The goal of the present study is to compare functional elbow flexion recovery in NBPP following nerve grafting or nerve transfer. METHODS The present study conducted a systematic literature review and meta-analysis according to PRISMA guidelines. A search was conducted on Pubmed for eligible studies published until November of 2018. Odds Ratios (OR) and 95% confidence intervals (CI) were calculated to compare functional elbow flexion outcomes between nerve graft and nerve transfer. A random-effects model meta-analysis was conducted. A Medical Research Council (MRC) score = 3 or Active Movement Scale (AMS) = 5 was considered functional recovery of elbow flexion. RESULTS The present study included 194 patients from 1990 2015 across five observational trials. Only pediatric patients with obstetric brachial plexus injury were included. The mean patient age at surgery varied between studies from 5.7 to 11.9 mo and mean follow-up from 12 to 70 mo. No complications or cases of donor site morbidity were reported. Functional recovery occurred with nerve transfer in 95.2% of patients (n = 59/62) and with nerve grafting in 96.4% of patients (n = 54/56). Overall, the outcomes for elbow flexion between the groups appeared similar (OR: 1.15, 95% CI: 0.19-7.08, I2: 2.9%). CONCLUSION The optimal approach to brachial plexus reconstruction in NBPP continues to be the subject of debate. As one of the most important outcomes, the present meta-analysis finds that functional recovery of elbow flexion does not appear to differ between nerve grafting and nerve transfer.

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