Evaluation of surgical outcomes of obstetric brachial plexus birth injury : clinical and electrophysiological study

Joint Authors

Hasan, Marwah M.
Semaya, Ahmad E.
Abd al-Ghani, Hiyam Muhammad
Hasan, Sarah N.
Muhassib, Diya Muhammad Fahmi

Source

Egyptian Rheumatology and Rehabilitation

Issue

Vol. 46, Issue 4 (31 Dec. 2019), pp.229-236, 8 p.

Publisher

The Egyptian Society for Rheumatology and Rehabilitation

Publication Date

2019-12-31

Country of Publication

Egypt

No. of Pages

8

Main Subjects

Medicine

Topics

Abstract EN

Background Obstetric brachial plexus birth injury (OBPBI) is a relatively common form of birth injury that might lead to a weighty physical disability.

Early microsurgical intervention for properly selected patients will result in maximal functional benefit that couldn’t be otherwise obtained.

However, the outcomes of different microsurgical techniques need to be further evaluated and compared.

Aim To evaluate the outcomes of different microsurgical techniques performed in patients with OBPBI.

Patients & Methods Twenty-eight patients with OBPBI meeting the criteria for surgical intervention were included in the study.

Preoperative and one year postoperative clinical and electrophysiological assessments were done.

Results Thirteen (46.4%) of the studied patients were males and 15 (53.6%) were females.

The mean age of patients in the study was 8.64 months ± 4.40; ranging between (3.0 – 16.0 months),7 patients had Horner syndrome.C5 and C6+/-C7 roots affection was the most frequent lesion ,patients who underwent neurotization recovered earlier than patients who underwent nerve grafting ,on the other hand nerve grafting resulted in more significant postoperative improvement after a 12 months follow up period.

Conclusions The current study provided additional evidence that the earlier the surgical intervention in OBPBI, the better the outcomes.Neurotization results in earlier functional recovery in patients with OBPBI than nerve grafting reconstructive techniques.

On the other hand, nerve grafting was superior to neurotization regarding the degree of improvement.

Postoperative electrophysiological followup can be done using the CMAP amplitude and AUC percentages reflecting the percentage of viable axons.

American Psychological Association (APA)

Muhassib, Diya Muhammad Fahmi& Hasan, Marwah M.& Semaya, Ahmad E.& Abd al-Ghani, Hiyam Muhammad& Hasan, Sarah N.. 2019. Evaluation of surgical outcomes of obstetric brachial plexus birth injury : clinical and electrophysiological study. Egyptian Rheumatology and Rehabilitation،Vol. 46, no. 4, pp.229-236.
https://search.emarefa.net/detail/BIM-899685

Modern Language Association (MLA)

Muhassib, Diya Muhammad Fahmi…[et al.]. Evaluation of surgical outcomes of obstetric brachial plexus birth injury : clinical and electrophysiological study. Egyptian Rheumatology and Rehabilitation Vol. 46, no. 4 (Oct. / Dec. 2019), pp.229-236.
https://search.emarefa.net/detail/BIM-899685

American Medical Association (AMA)

Muhassib, Diya Muhammad Fahmi& Hasan, Marwah M.& Semaya, Ahmad E.& Abd al-Ghani, Hiyam Muhammad& Hasan, Sarah N.. Evaluation of surgical outcomes of obstetric brachial plexus birth injury : clinical and electrophysiological study. Egyptian Rheumatology and Rehabilitation. 2019. Vol. 46, no. 4, pp.229-236.
https://search.emarefa.net/detail/BIM-899685

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references : p. 236

Record ID

BIM-899685