A case of Klumpke's obstetric brachial plexus palsy following a Cesarean section

Al‐Qattan, Mohammad M.; El-Sayed, Amel A. F.

doi:10.1002/ccr3.644

Cited by 6 publications

(8 citation statements)

References 14 publications

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“…Although infrequent ($ 1% of all cases), there are some reports of BPBP following cesarean deliveries, supporting the theory that physiologic forces are partially responsible for the condition. 9,10,12,15 As previously mentioned, BPBP can be either preganglionic or postganglionic, depending on its relationship with the dorsal root ganglion. Macroscopically, preganglionic injuries are described as avulsions and postganglionic as neuroma formation or rupture (►Fig.…”

Section: Pathogenesismentioning

confidence: 99%

“…9 Pure lower plexus palsy (Klumpke's paralysis; C8 and T1) is rare, only ∼ 1% of all reported cases of BPBP. 9 10 11 12…”

Section: Clinical Featuresmentioning

confidence: 99%

“…Although infrequent (∼ 1% of all cases), there are some reports of BPBP following cesarean deliveries, supporting the theory that physiologic forces are partially responsible for the condition. 9 10 12 15…”

Section: Pathogenesismentioning

confidence: 99%

“…9 Pure lower plexus palsy (Klumpke's paralysis; C8 and T1) is rare, only $ 1% of all reported cases of BPBP. [9][10][11][12] If BPBP is not treated, at least a third of patients can develop significant sequelae, 8 such as muscle contractures (most commonly in adduction and internal rotation) and changes in the glenohumeral joint known as GHD. It can result in significant functional impairment, with a marked deficit in shoulder external rotation, causing problems with some movements, such as taking the hand to the mouth or to the back of the head.…”

Section: Clinical Featuresmentioning

confidence: 99%

See 3 more Smart Citations

Brachial Plexus Birth Palsy: Practical Concepts for Radiologists

Gonzalez-Mantilla

Abril

Bedoya

2022

Semin Musculoskelet Radiol

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Brachial plexus birth palsy (BPBP) is classified as a preganglionic or postganglionic injury based on the site of injury. Most patients recover spontaneously and are followed up with clinical evaluation; however, permanent sequelae are not uncommon. For patients with persistent neurologic deficits, clinical and radiologic evaluation is crucial. Untreated BPBP can progress to significant sequelae, such as muscle contractures and glenohumeral dysplasia (GHD). Timely characterization of these entities based on different imaging modalities is a high priority for optimal patient outcomes. We describe the anatomy and pathogenesis, as well as the different imaging modalities involved in the evaluation and classification of BPBP and GHD.

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Section: Pathogenesismentioning

confidence: 99%

“…9 Pure lower plexus palsy (Klumpke's paralysis; C8 and T1) is rare, only ∼ 1% of all reported cases of BPBP. 9 10 11 12…”

Section: Clinical Featuresmentioning

confidence: 99%

Section: Pathogenesismentioning

confidence: 99%

Section: Clinical Featuresmentioning

confidence: 99%

See 2 more Smart Citations

Brachial Plexus Birth Palsy: Practical Concepts for Radiologists

Gonzalez-Mantilla

Abril

Bedoya

2022

Semin Musculoskelet Radiol

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“…This is not seen in modern obstetric practice and hence Klumpke’s palsy is generally seen only in non-obstetric cases. 2 …”

mentioning

confidence: 99%

Obstetric brachial plexus injury

Al-Essa

Al-Khilaiwi²,

Alqahtani³

et al. 2017

SMJ

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Objectives:To assess the basic knowledge on obstetric brachial plexus injury among obstetricians, pediatricians, and physio-/occupational therapists in major hospitals in Riyadh. We aimed to identify if inadequate knowledge is the reason behind delayed referrals to the Hand Clinic.Methods:This is a cross-sectional questionnaire-based study conducted at 5 major hospitals in Riyadh, Saudi Arabia between June 2015 and August 2015. A questionnaire of 6 questions (multiple choice closed-ended questions) was given to obstetricians, pediatricians, and physio-/occupational therapists’ in these selected hospitals. The total score out of 6 was categorized as good, adequate, and inadequate knowledge if the score is 5-6, 3-4, and less than 3; respectively. The data were analyzed with Chi-square, fisher exact, Analysis of Variance, and Post-hoc tests where appropriate.Results:A total of 323 subjects participated in the study. For positions, the best mean score (for all 6 questions) was scored by consultants and the score was only 2.95 out of 6. For hospitals, Hospital IV scored the best mean score (2.99). The mean scores were not significantly different between different specialties.Conclusion:Inadequate knowledge seems to be a reason for delayed referrals of cases of obstetric brachial plexus injury to Hand Clinics in Riyadh, Saudi Arabia.

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Extensor carpi radialis brevis motor branch transfer to the deep branch of the ulnar nerve to repair intrinsic hand palsy in neonatal lower brachial plexus and spinal cord injury: A case report

et al. 2023

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Concomitant lower neonatal brachial plexus palsy (Klumpke) and spinal cord injury is extremely rare but with a clearly established mechanism of injury pattern. No successful surgical techniques have been reported to date to restore intrinsic hand function. We report a case of successful transfer of the extensor carpi radialis brevis motor branch to the deep branch of the ulnar nerve to repair intrinsic hand palsy. Three-month-old boy with the diagnosis of left Klumpke paralysis and thoracic spinal cord injury associating left Horner's sign, intrinsic minus deformity of all the digits, and thenar muscle paralysis in the upper limb. Both lower limbs were fully paralyzed. Cervical magnetic resonance imaging (MRI) revealed spinal cord narrowing from T1 to T5 and pseudo-meningoceles

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A case of Klumpke's obstetric brachial plexus palsy following a Cesarean section

Abstract: Key Clinical MessageIt is generally thought that Klumpke's palsy is not seen as obstetric injury. The authors present a case of Klumpke's palsy with Horner syndrome following delivery by emergency Cesarean section. Neurolysis and nerve grafting partially corrected the paralysis.

Cited by 6 publications

References 14 publications

Brachial Plexus Birth Palsy: Practical Concepts for Radiologists

Brachial Plexus Birth Palsy: Practical Concepts for Radiologists

Obstetric brachial plexus injury

Extensor carpi radialis brevis motor branch transfer to the deep branch of the ulnar nerve to repair intrinsic hand palsy in neonatal lower brachial plexus and spinal cord injury: A case report

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