Brachial plexus injuries

Birch, R

doi:10.1302/0301-620x78b6.14190

Cited by 27 publications

(10 citation statements)

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“…There are, for example, different possibilities for shoulder surgery that would give a more functional position of the arm and hand (Stanley et al 1975, Birch 1996. Palliative surgery is an important alternative and complement for all groups, including those operated with nerve reconstruction.…”

Section: Timing Of Operationmentioning

confidence: 99%

Functional outcome at 5 years in children with obstetrical brachial plexus palsy with and without microsurgical reconstruction

Strömbeck¹,

Krumlinde‐Sundholm²,

Forssberg³

2000

Dev Med Child Neurol

129

100

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Between 1987 and 1998, 470 patients visited the national clinic for obstetrical brachial plexus palsies at the Karolinska Hospital, Stockholm, Sweden. This study reports on 247 children examined at 5 years of age using a special protocol for testing the sensory and motor function of the hand. The children were distributed in various groups depending on the number of injured nerves, whether they had some muscle activity in their biceps or deltoid muscles at 3 months of age, and whether any operations with nerve reconstruction had been performed. The shoulder range of movement in C5-6 palsies was significantly better in the group which had been operated on (operated group), but otherwise there were no differences between children who had been operated on (non-operated group) and those who had not. A decrease in grip strength and bimanual function in level C5-6 palsies was found, though these roots should not innervate the distal hand. Outcome was not influenced by the number of avulsions in upper-plexus palsies or whether the operation took place before or after the age of 6 months. The group with extensive lesions (C5-Th1) had the most root avulsions, showing a correlation between increased avulsions and decreased hand function. This study does not support operating on children with no activity of the biceps and deltoid muscles at 3 months of age, as other authors have concluded. Rather, it favours waiting for a late recovery.

show abstract

Section: Timing Of Operationmentioning

confidence: 99%

Functional outcome at 5 years in children with obstetrical brachial plexus palsy with and without microsurgical reconstruction

Strömbeck¹,

Krumlinde‐Sundholm²,

Forssberg³

2000

Dev Med Child Neurol

129

100

View full text Add to dashboard Cite

show abstract

“…Palliative surgery is an important alternative and complement for all groups, including those operated with nerve reconstruction. There are, for example, different possibilities for shoulder surgery that would give a more functional position of the arm and hand (Stanley et al 1975, Birch 1996. Different muscle transfer operations might also help the patient.…”

Section: Timing Of Operationmentioning

confidence: 99%

Functional outcome at 5 years in children with obstetrical brachial plexus palsy with and without microsurgical reconstruction

Strömbeck

Krumlinde‐Sundholm

Forssberg

2000

Develop Med Child Neuro

View full text Add to dashboard Cite

Between 1987 and 1998, 470 patients visited the national clinic for obstetrical brachial plexus palsies at the Karolinska Hospital, Stockholm, Sweden. This study reports on 247 children examined at 5 years of age using a special protocol for testing the sensory and motor function of the hand. The children were distributed in various groups depending on the number of injured nerves, whether they had some muscle activity in their biceps or deltoid muscles at 3 months of age, and whether any operations with nerve reconstruction had been performed. The shoulder range of movement in C5–6 palsies was significantly better in the group which had been operated on (operated group), but otherwise there were no differences between children who had been operated on (non‐operated group) and those who had not. A decrease in grip strength and bimanual function in level C5–6 palsies was found, though these roots should not innervate the distal hand. Outcome was not influenced by the number of avulsions in upper‐plexus palsies or whether the operation took place before or after the age of 6 months. The group with extensive lesions (C5‐Th1) had the most root avulsions, showing a correlation between increased avulsions and decreased hand function. This study does not support operating on children with no activity of the biceps and deltoid muscles at 3 months of age, as other authors have concluded. Rather, it favours waiting for a late recovery.

show abstract

“…The objective of their study was concerned more with the results of electrophysiological and radiological studies and surgical management. Birch (1996) preceded Dubuisson and Kline (2002) with his statement that physical and psychological well-being requires vigorous rehabilitation which is aimed at a return to normal life. It is also necessary to supervise the progress of these patients in order that any secondary reconstructive surgery is wisely timed to maximise any potential.…”

Section: Quality Of Life Issuesmentioning

confidence: 99%

Quality of life issues for patients following traumatic brachial plexus injury – Part 1 A Literature review

Wellington

2009

Journal of Orthopaedic Nursing

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Brachial plexus injuries

Cited by 27 publications

References 0 publications

Functional outcome at 5 years in children with obstetrical brachial plexus palsy with and without microsurgical reconstruction

Functional outcome at 5 years in children with obstetrical brachial plexus palsy with and without microsurgical reconstruction

Functional outcome at 5 years in children with obstetrical brachial plexus palsy with and without microsurgical reconstruction

Quality of life issues for patients following traumatic brachial plexus injury – Part 1 A Literature review

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