Algorithm for treatment of children of first months of life with brachial plexus birth palsy

Kriukova, Irina A.; Khusainov, N.O.; Баиндурашвили, А Г; Ikoeva, Galina A.; Garkavenko, Yuriy E.

doi:10.17816/ptors4172-77

Cited by 3 publications

(2 citation statements)

References 15 publications

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“…Спонтанное восстановление невозможно, без нейрохирургического вмешательства прогноз для восстановления функции верхней конечности неблагоприятный [2,9]. Авульсия относится к наиболее тяжелым видам травмы плечевого сплетения с плохим прогнозом по восстановлению моторной функции конечности [2,9]. A. O. Narakas и соавт.…”

Section: лекции и обзорыunclassified

“…1) дистоция плечиков плода (крупный плод / узкий таз); 2) патологическое положение плода в родах (затылочное, тазовое, ягодичное, запрокидывание ручки); 3) тракционно-ротационные акушерские манипуляции (ручные, щипцы, вакуум-экстракция) [1][2][3][4][5][6][7][8].…”

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Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)

Агранович¹

2020

Neuromuscular Diseases

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The incidence of plexus brachial birth injuries consists 0.12 % of births (0.04–0.20 %). Although the possibility of complete recovery is relatively high, 10–30 % patients have secondary deformity and limitation of upper limb function due to muscle imbalance and co-contraction around the shoulder and elbow cause abnormal motor performance, osseous deformities and joint contracture. Botulinum toxin type A injections into targeted muscles in combination with occupation therapy, physiotherapy or operative treatment reduce the abnormal cocontraction of the antagonist muscles and help to restore muscles balance and prevent secondary deformities. The article discuses indications for botulinum injection therapy, target muscles, doses of botulinum toxin A, optimal patient’s age and results of treatment.

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Section: лекции и обзорыunclassified

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Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)

Агранович¹

2020

Neuromuscular Diseases

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Differential diagnosis of flaccid palsy of the upper extremities in children first months after birth (Literature review)

Agranovich

Ikoeva

Gabbasova

et al. 2021

Pediatr Traum Orthop Reconstr Surg

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This article analyzes the literature related to flaccid paresis and paralysis of the upper extremities in children during the first months of life. This pathology is a heterogeneous group of diseases with different etiopathogenesis. There are various courses of flaccid paresis and paralysis of the upper extremities in children: damage to the spinal cord, brachial plexus, peripheral nervous system to the level of the brachial plexus, and isolated damage to peripheral nerves. According to the time of occurrence, flaccid paresis and paralysis can be divided into three groups: antenatal, intranatal, and postnatal pathology. The main mechanism of occurrence of this pathology is intranatal trauma. More rare causes of flaccid paresis and paralysis of the upper extremities are antenatal conditions of dysplastic and traumatic origin, postnatal damage to the peripheral nervous system due to trauma or infection. Congenital contractures of the upper extremities combined with flaccid paralysis are connected with genetically determined diseases of the lower motor neurons and congenital myopathies, intrauterine injuries of the brachial plexus peripheral nerves. This article discusses the issues of topical and differential diagnosis of this pathology, the clinical picture suitable for each period of the childs life, and the prognosis of the disease. This research will be useful not only for neurologists, but also for specialists of related specialties: orthopedists, physiotherapists, and neonatologists for making correct the diagnosis, providing adequate treatment, and predicting its results.

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Fractures of long tubular bones in newborns: mechanisms of injuries, methods of diagnosis, and treatment

Скрябин

Геннадьевич²,

Akselrov

et al. 2018

Pediatr Traum Orthop Reconstr Surg

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Background. Medical information on the provision of emergency trauma care to newborns with fractures of tubular bones is scarce. Aim. This scientific review aimed to inform children's orthopedic traumatologists regarding the main mechanisms of injury, methods of diagnosis, and treatment of fractures of long tubular bones in newborns. Material and methods. The article presents a systematic analysis of 60 scientific works of domestic and foreign authors on topical aspects of fractures of long tubular bones in newborns from 1986 to 2018. For writing the literature review, we used modern electronic databases of medical information: PubMed, MEDLINE, Ulrich’s Periodicals Directory, DOAJ, Cyberleninka, and еLibrary. Results and discussion. Similarly from the analysis of scientific publications, the main mechanism of fractures of limb segments in newborns is intranatal trauma, in which the child can receive both during birth through the birth canal and during cesarean section. The predisposing factors for obtaining bone fractures are intrauterine osteopenia, congenital diseases of the digestive system, and prematurity. Fractures are diagnosed on the basis of clinical examination and results of ultrasound and X-ray studies of the injured limb. In the treatment of limb bone fractures, both conservative and surgical methods are used. In recent years, a tendency has been clearly observed in scientific publications, highlighting the ever-widening introduction into clinical practice of operational methods for stabilizing fractures of long tubular bones in newborns, including using the techniques of transosseous osteosynthesis. Conclusion. The presented article fills the existing gap of summarizing scientific publications on the treatment of fractures of limbs in newborns.

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Algorithm for treatment of children of first months of life with brachial plexus birth palsy

Cited by 3 publications

References 15 publications

Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)

Botulinum therapy using in the complex treatment of children with the result of the brachial plexus intranatal injury (literature review)

Differential diagnosis of flaccid palsy of the upper extremities in children first months after birth (Literature review)

Fractures of long tubular bones in newborns: mechanisms of injuries, methods of diagnosis, and treatment

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