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Extending the Indications for Primary Nerve Surgery in Obstetrical Brachial Plexus Palsy
Joint Authors
Lin, Jenny C.
Curtis, Christine G.
Bade, Stuart A.
Clarke, Howard M.
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-01-12
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Purpose.
This study identifies a small subset of patients with obstetrical brachial plexus palsy who, while they do not meet common surgical indications, may still benefit from primary nerve surgery.
Methods.
Between April 2004 and April 2009, 17 patients were offered primary nerve surgery despite not meeting the standard surgical indications of the authors.
The authors performed a retrospective analysis of these 17 patients using prospectively collected data.
Results.
This group of 17 patients were identified as having poor shoulder function at about 9 months of age despite passing the Cookie Test.
Fourteen patients underwent surgical intervention and three families declined surgery.
All patients in the operative group regained some active external rotation after surgery.
Five patients in this group have required further interventions.
Two of the three patients for whom surgery was declined have had no subsequent spontaneous improvement in active external rotation.
Discussion.
The commonly used indications for primary nerve surgery in obstetrical brachial plexus palsy may not adequately identify all patients who may benefit from surgical intervention.
Patients who pass the Cookie Test but have poor spontaneous recovery of active shoulder movements, particularly external rotation, may still benefit from primary nerve surgery.
American Psychological Association (APA)
Bade, Stuart A.& Lin, Jenny C.& Curtis, Christine G.& Clarke, Howard M.. 2014. Extending the Indications for Primary Nerve Surgery in Obstetrical Brachial Plexus Palsy. BioMed Research International،Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-486251
Modern Language Association (MLA)
Bade, Stuart A.…[et al.]. Extending the Indications for Primary Nerve Surgery in Obstetrical Brachial Plexus Palsy. BioMed Research International No. 2014 (2014), pp.1-5.
https://search.emarefa.net/detail/BIM-486251
American Medical Association (AMA)
Bade, Stuart A.& Lin, Jenny C.& Curtis, Christine G.& Clarke, Howard M.. Extending the Indications for Primary Nerve Surgery in Obstetrical Brachial Plexus Palsy. BioMed Research International. 2014. Vol. 2014, no. 2014, pp.1-5.
https://search.emarefa.net/detail/BIM-486251
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486251