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Risk Factors at Birth for Permanent Obstetric Brachial Plexus Injury and Associated Osseous Deformities
Joint Authors
Nath, Rahul K.
Avila, Meera B.
Kumar, Nirupama
Eichhorn, Mitchell G.
Melcher, Sonya E.
Somasundaram, Chandra
Nath, Devin K.
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-01
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Pharmacy, Health & Medical Sciences
Pharmacology
Abstract EN
Purpose.
To examine the most prevalent risk factors found in patients with permanent obstetric brachial plexus injury (OBPI) to identify better predictors of injury.
Methods.
A population-based study was performed on 241 OBPI patients who underwent surgical treatment at the Texas Nerve and Paralysis Institute.
Results.
Shoulder dystocia (97%) was the most prevalent risk factor.
We found that 80% of the patients in this study were not macrosomic, and 43% weighed less than 4000 g at birth.
The rate of instrument use was 41% , which is 4-fold higher than the 10% predicted for all vaginal deliveries in the United States.
Posterior subluxation and glenoid version measurements in children with no finger movement at birth indicated a less severe shoulder deformity in comparison with those with finger movement.
Conclusions.
The average birth weight in this study was indistinguishable from the average birth weight reported for all brachial plexus injuries.
Higher birth weight does not, therefore, affect the prognosis of brachial plexus injury.
We found forceps/vacuum delivery to be an independent risk factor for OBPI, regardless of birth weight.
Permanently injured patients with finger movement at birth develop more severe bony deformities of the shoulder than patients without finger movement.
American Psychological Association (APA)
Nath, Rahul K.& Kumar, Nirupama& Avila, Meera B.& Nath, Devin K.& Melcher, Sonya E.& Eichhorn, Mitchell G.…[et al.]. 2012. Risk Factors at Birth for Permanent Obstetric Brachial Plexus Injury and Associated Osseous Deformities. ISRN Pediatrics،Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-462112
Modern Language Association (MLA)
Nath, Rahul K.…[et al.]. Risk Factors at Birth for Permanent Obstetric Brachial Plexus Injury and Associated Osseous Deformities. ISRN Pediatrics No. 2012 (2012), pp.1-7.
https://search.emarefa.net/detail/BIM-462112
American Medical Association (AMA)
Nath, Rahul K.& Kumar, Nirupama& Avila, Meera B.& Nath, Devin K.& Melcher, Sonya E.& Eichhorn, Mitchell G.…[et al.]. Risk Factors at Birth for Permanent Obstetric Brachial Plexus Injury and Associated Osseous Deformities. ISRN Pediatrics. 2012. Vol. 2012, no. 2012, pp.1-7.
https://search.emarefa.net/detail/BIM-462112
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-462112