Median Nerve to Biceps Nerve Transfer to Restore Elbow Flexion in Obstetric Brachial Plexus Palsy

Al‐Qattan, Mohammad M.; Al-Kharfy, Tm

doi:10.1155/2014/854084

Cited by 22 publications

(20 citation statements)

References 18 publications

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“…Studies comparing spinal accessory to suprascapular nerve transfer versus C5 nerve grafting show equivalent results [58,59]. Of the patients, 65-90 % demonstrate functional recovery with the Oberlin transfer [60][61][62]. There is insignificant data to assess isolated outcomes of triceps branch to axillary nerve transfer in children, as it is more commonly done in conjunction with other nerve transfers [63].…”

Section: Microsurgical Techniquesmentioning

confidence: 99%

The natural history and management of brachial plexus birth palsy

Buterbaugh

Shah

2016

Curr Rev Musculoskelet Med

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Brachial plexus birth palsy (BPBP) is an upper extremity paralysis that occurs due to traction injury of the brachial plexus during childbirth. Approximately 20 % of children with brachial plexus birth palsy will have residual neurologic deficits. These permanent and significant impacts on upper limb function continue to spur interest in optimizing the management of a problem with a highly variable natural history. BPBP is generally diagnosed on clinical examination and does not typically require cross-sectional imaging. Physical examination is also the best modality to determine candidates for microsurgical reconstruction of the brachial plexus. The key finding on physical examination that determines need for microsurgery is recovery of antigravity elbow flexion by 3-6 months of age. When indicated, both microsurgery and secondary shoulder and elbow procedures are effective and can substantially improve functional outcomes. These procedures include nerve transfers and nerve grafting in infants and secondary procedures in children, such as botulinum toxin injection, shoulder tendon transfers, and humeral derotational osteotomy.

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Section: Microsurgical Techniquesmentioning

confidence: 99%

The natural history and management of brachial plexus birth palsy

Buterbaugh

Shah

2016

Curr Rev Musculoskelet Med

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“… 6 The results are excellent and consistent. 5 , 9 However, it is obvious that such knowledge is still lacking to the primary health care providers for OBPI.…”

Section: Discussionmentioning

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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“…Al-Qattan et al 28 reported their results in 10 patients with obstetric brachial plexus palsy. The preoperative AMS for elbow flexion ranged from 0--2.…”

Section: Transfer Of Median Nervementioning

confidence: 99%

Does nerve repair or transfer really help in birth associated brachial plexus injury (obstetric palsy)? Current evidence

Ganjwala

Shah

2015

Current Orthopaedic Practice

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Brachial plexus birth palsy occurs in 0.1--0.4% of live births, with most showing signs of recovery in the first 2 mo of life. In infants who do not recover in the first 3 mo of life have a considerable risk of long-term disability. If recovery extends beyond 6 mo, surgery may be indicated, based on the type of nerve injury. Avulsion injuries are mainly treated with nerve transfers. Ruptures have varying degrees of recovery, and their treatment remains controversial concerning indications and timing of surgery. This article reviews nerve repair, timing of surgery, technique, and results.

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Median Nerve to Biceps Nerve Transfer to Restore Elbow Flexion in Obstetric Brachial Plexus Palsy

Cited by 22 publications

References 18 publications

The natural history and management of brachial plexus birth palsy

The natural history and management of brachial plexus birth palsy

Obstetric brachial plexus injury

Does nerve repair or transfer really help in birth associated brachial plexus injury (obstetric palsy)? Current evidence

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