RSS-Feed abonnieren
PDF herunterladen
DOI: 10.1055/s-0043-1764453
Management of Brachial Plexus Birth Palsies: The Stanford Experience
Abstract
The start of Stanford's brachial plexus birth palsy (BPBP) experience dates back to 1983, when Dr. Vincent Rod Hentz visited Dr. Alain Gilbert on sabbatical. Since then, our principles of care for patients with BPBP have evolved based on our group's longitudinal experience caring for children with the entire spectrum of sequelae that arise in children with BPBP. We base our clinical decision making on frequent serial examinations and use intraoperative evoked potentials to guide surgical decisions. Here, we discuss our current principles on surgical indications, timing of surgery, and preferred techniques for secondary surgery in patients with BPBP.
Publikationsverlauf
Artikel online veröffentlicht:
27. März 2023
© 2023. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Gurewitsch Allen ED. Recurrent shoulder dystocia: risk factors and counseling. Clin Obstet Gynecol 2016; 59 (04) 803-812
- 2 Hale HB, Bae DS, Waters PM. Current concepts in the management of brachial plexus birth palsy. J Hand Surg Am 2010; 35 (02) 322-331
- 3 Gilbert A, Tassin JL. [Surgical repair of the brachial plexus in obstetric paralysis]. Chirurgie 1984; 110 (01) 70-75
- 4 Curtis C, Stephens D, Clarke HM, Andrews D. The active movement scale: an evaluative tool for infants with obstetrical brachial plexus palsy. J Hand Surg Am 2002; 27 (03) 470-478
- 5 Tse R, Marcus JR, Curtis CG, Dupuis A, Clarke HM. Suprascapular nerve reconstruction in obstetrical brachial plexus palsy: spinal accessory nerve transfer versus C5 root grafting. Plast Reconstr Surg 2011; 127 (06) 2391-2396
- 6 Noaman HH, Shiha AE, Bahm J. Oberlin's ulnar nerve transfer to the biceps motor nerve in obstetric brachial plexus palsy: indications, and good and bad results. Microsurgery 2004; 24 (03) 182-187
- 7 Leechavengvongs S, Malungpaishorpe K, Uerpairojkit C, Ng CY, Witoonchart K. Nerve transfers to restore shoulder function. Hand Clin 2016; 32 (02) 153-164