Brachial Plexus Injuries

Narakas, A

doi:10.1016/s1130-1473(91)71166-4

Cited by 97 publications

(144 citation statements)

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“…Furthermore, active external rotation and supination at three months of age showed the highest correlation with eventual neurological outcome, although shoulder abduction and elbow flexion also showed significant correlation. These findings are remarkable, because most other studies on this subject only mention the deltoid and biceps function as predictors (Tassin 1984, Gilbert and Tassin 1987, Narakas 1987, Gilbert et al 1991, Waters 1999, Noetzel et al 2001. Tassin (1984) made an extensive study of this subject.…”

Section: Discussionmentioning

confidence: 88%

“…Neurological examination of the upper limb, with the infant in an upright position, was performed in all patients by the same examiner (AFH). As the scale of the Medical Research Council (1998) cannot be applied in small children, the Narakas motor scale was used (Narakas 1987; Table I). Each muscle group of the upper limb was assessed in this way.…”

Section: Participantsmentioning

confidence: 99%

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Neurological recovery in obstetric brachial plexus injuries: an historical cohort study

Hoeksma

Steeg

Nelissen

et al. 2004

Develop Med Child Neuro

177

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An historical cohort study was conducted to investigate the rate and extent of neurological recovery in obstetric brachial plexus injury (OBPI) and to identify possible prognostic factors in a cohort of children with OBPI from birth to 7 years. All children (n=56; 31 females, 25 males) with OBPI were evaluated at fixed time intervals by one examiner. They underwent a final neurological examination at a mean age of 3 years 10 months (range 1 to 7 years). Neurological outcome was not as favourable as is often reported: complete neurological recovery occurred in 37 out of 56 children (66%). In half of these there was delayed recovery, in which case complete neurological recovery was assessed from 1.5 to 16 months of age (median age 6.5 months, SD 4.2 months). External rotation and supination were the last to recover and recovered the least. Although biceps function at three months was considered to be the best indicator for operative treatment, external rotation and supination were found to be better in predicting eventual complete recovery. Initial symptoms directly post partum were not found to be prognostic. Functional outcome was mainly reported to be good.

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Section: Discussionmentioning

confidence: 88%

Section: Participantsmentioning

confidence: 99%

Neurological recovery in obstetric brachial plexus injuries: an historical cohort study

Hoeksma

Steeg

Nelissen

et al. 2004

Develop Med Child Neuro

177

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“…4 Clinical manifestations and spontaneous recovery depend on the extent, location, and type of nerve lesions. The clinical presentation can generally be grouped into 1 of 4 patterns outlined by Narakas 5 : Type I involves C5 and C6 deficits (Erb-Duchenne type) with loss of shoulder abduction, shoulder external rotation, elbow flexion, and forearm supination. Type II involves C5 to C7/C8 deficits, resulting in a "waiter's tip" posture from additional loss of wrist extension.…”

mentioning

confidence: 99%

The Diagnostic Value of CT Myelography, MR Myelography, and Both in Neonatal Brachial Plexus Palsy

Tse

Nixon²,

Iyer³

et al. 2014

AJNR Am J Neuroradiol

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BACKGROUND AND PURPOSE:Although most infants with brachial plexus palsy recover function spontaneously, approximately 10 -30% benefit from surgical treatment. Pre-operative screening for nerve root avulsions is helpful in planning reconstruction. Our aim was to compare the diagnostic value of CT myelography, MR myelography, and both against a surgical criterion standard for detection of complete nerve root avulsions in birth brachial plexus palsy.

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“…22 La clasificación más usada es la que describe estos 3 tipos clínicos, y un cuarto tipo, más grave aun: parálisis total con signo de Horner. 23,24 El síndrome de Claude Bernard-Horner es la asociación de miosis, enoftalmos y ptosis palpebral homolateral, que traduce una afeccion de la cadena simpática cervical, que tiene ramos conectados con T1 a nivel preganglionar; lo que trasunta un posible arrancamiento medular de algunas raicillas inferiores y, en principio, impide una reparación directa de los nervios.…”

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Conceptos actuales en la parálisis braquial perinatal. Parte 1: etapa temprana

Dogliotti

2011

Arch Argent Pediat

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RESUMENLa parálisis braquial perinatal tiene una incidencia similar a otras patologías frecuentes de la ortopedia infantil. Su tratamiento ha sido tradicionalmente conservador, con seguimiento pediátrico y consultas a los distintos especialistas para tratar las secuelas. Existen controversias respecto de la historia natural y el tratamiento. Las secuelas comienzan cada vez más tempranamente, por lo que debe ser pesquisada en las revisaciones y ser considerada en la táctica terapéutica al mismo tiempo que la reparación de los nervios. Se analiza la clasificación clínica y los parámetros de recuperación nerviosa, fundamentales para decidir el momento de indicar una exploración del plexo. Palabras clave: parálisis braquial obstétrica, pará-lisis obstétrica, parálisis braquial, microcirugía, exploración quirúrgica del plexo braquial. SUMMARYThe incidence of perinatal brachial palsy is similar to that of other frequent conditions in children's orthopedics. The treatment has been traditionally conservative with pediatric follow-up and consultations with various specialists to deal with its sequelae. Its natural history and treatment are controversial. Sequelaes tend to appear earlier each time, so that it should be attended to in checkups and taken into consideration in therapeutic tactics at the same time as nerve repair. This paper includes an analysis of its clinical classification and nerve recovery parameters, essential to decide whent to start an exploration of the plexus.

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Brachial Plexus Injuries

Cited by 97 publications

References 0 publications

Neurological recovery in obstetric brachial plexus injuries: an historical cohort study

Neurological recovery in obstetric brachial plexus injuries: an historical cohort study

The Diagnostic Value of CT Myelography, MR Myelography, and Both in Neonatal Brachial Plexus Palsy

Conceptos actuales en la parálisis braquial perinatal. Parte 1: etapa temprana

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