Narakas classification of obstetric brachial plexus palsy revisited

Al-Qattan, M. M.; El-Sayed, Amel A. F.; Al-Zahrani, Abdullah; Al-Mutairi, S. A.; Alharbi, Mohammed S.; AL‐Mutairi, Abdullah; Al-Kahtani, F. S.

doi:10.1177/1753193409348185

Cited by 80 publications

(50 citation statements)

References 12 publications

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“…Information regarding the severity of the neurological injury at the time of the initial evaluation was reviewed, and the Narakas classification was used to divide the patients into a C5-6 injury group (group I), a C5-7 injury group (group II), and a global C5-T1 injury group (group III) (see Appendix) 22,23 . Of the 319 patients included in the study, 154 were in group I, ninety-nine were in group II, and sixty-six were in group III.…”

mentioning

confidence: 99%

The Prevalence, Rate of Progression, and Treatment of Elbow Flexion Contracture in Children with Brachial Plexus Birth Palsy

Sheffler

Lattanza

Hagar

et al. 2012

Journal of Bone and Joint Surgery

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mentioning

confidence: 99%

The Prevalence, Rate of Progression, and Treatment of Elbow Flexion Contracture in Children with Brachial Plexus Birth Palsy

Sheffler

Lattanza

Hagar

et al. 2012

Journal of Bone and Joint Surgery

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“…Among families that had pursued malpractice litigation, the majority believed that 1) their child had sustained an unnecessary birth injury (p = 0.002); 2) they had not received adequate information in the perinatal period (p = 0.003); 3) their concerns had been ignored in the perinatal period (p = 0.005); and 4) these concerns had not been adequately addressed by their treating practitioners (p < 0.001). The most common reasons identified by families for pursuing legal action included 1) There was also a significant difference between groups as to recommendations to seek legal action. Sixty-six percent of families (33) received a suggestion to pursue a medical malpractice claim.…”

Section: Resultsmentioning

confidence: 98%

“…1 Groups I and II are considered to be less extensive, and Groups III and IV are considered more extensive. This manner of analysis was justified clinically because the higher-grade lesions require more intensive treatments, including surgical repair and intensive occupational therapy that can impose a financial burden to the family.…”

Section: Physical Extent Of Nerve Root Involvement In Nbpp and Malpramentioning

confidence: 99%

Lack of physician-patient communication as a key factor associated with malpractice litigation in neonatal brachial plexus palsy

Domino

McGovern²,

Chang³

et al. 2014

PED

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Object Perinatal disorders are prone to malpractice litigation. Neonatal brachial plexus palsy (NBPP) results from stretching the nerves in the perinatal period and may lead to paresis or paralysis and sensory loss in the affected arm. Little is known about the key factors associated with malpractice litigation by families of patients with NBPP and whether these factors reflect the practice environment or are inherent to the condition. In this study, the authors documented the percentage of families of NBPP patients at a specialty center that had filed a malpractice suit and described the key factors associated with that pursuit of legal action. Methods The families/caregivers of 51 patients with NBPP who had presented to the University of Michigan Interdisciplinary Brachial Plexus Program participated in this study. A qualitative research design was applied using both a questionnaire to examine psychosocial factors and a dynamic tool to measure health outcomes from the patient perspective via parent proxy (Patient-Reported Outcomes Measurement Information System [PROMIS] assessment instruments). Statistical analysis included the Fisher exact test, chi-square test, and Student t-test. The study protocol was approved by the University of Michigan institutional review board. Results Forty-seven percent of the families pursued malpractice litigation. In comparing patient families that had pursued legal action with those that had not, significant differences were revealed in the perception that the sustained birth injury was unnecessary (p = 0.002), the information received in the perinatal period was inadequate (p = 0.003), family concerns were ignored in the perinatal period (p = 0.005), and family concerns were not adequately addressed (p < 0.001). Sixty-six percent of the families received external advice to pursue legal action. The PROMIS survey revealed significant group differences in depressive symptoms (p = 0.008), fatigue (p = 0.02), pain (p = 0.01), and anger (p = 0.004). In contrast, the extent of NBPP was not associated with malpractice litigation (p = 0.18). Age, sex, and race were not significantly different between litigation and nonlitigation groups. Conclusions Physician-controllable factors, such as communication in the perinatal period, are associated with malpractice litigation in NBPP. The perceived level of global disability may affect the pursuit of malpractice litigation, whereas the isolated extent of nerve root involvement and/or upper extremity dysfunction are not significant factors in pursuing litigation. Identifying and ameliorating these factors within the practice environment may decrease the animosity between families and health care providers and improve overall outcome for patients with NBPP.

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“…The distribution of Erb's palsy was more in patients with traffic accidents and birth injury. 16 According to measurement of Sunderland, C5 and C6 have the short length of ramus. It makes nerves become more susceptible to damage when the traction occurred.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of Patient with Brachial Plexus Injury in Neurophysiology Laboratory of Dr. Hasan Sadikin General Hospital Bandung, Indonesia, from 2003 to 2012

Kurnianto

Kurniani

Soenggono

2015

amj

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Background: Brachial plexus is a network of nerves that controls the upper limb. Unfortunately, it can be injured easily which is called brachial plexus injury (BPI). It can cause disability. Until now, the epidemiology of BPI in Indonesia is still lacking. The aim of this study was to describe the characteristics of patients with BPI in Bandung, in order to increase knowledge and attention of health care provider and community to prevent BPI. Methods: This was a descriptive retrospective study. Data from medical records of patients with BPI who underwent electromyography (EMG) in Neurophysiology Laboratory Dr. Hasan Sadikin General Hospital, Bandung from 2003 to 2012 were collected. The data included age, sex, mode of injury, affected side and distribution of paralysis. Collected data were presented as percentages shown in tables. Results: A total of 91 cases were collected during study period, which consisted of 69 males and 22 females (76% vs. 24%). Most of them were in productive age group (11−20 years and 21−30 years). The main cause of brachial plexus injury was traffic accident (76%), followed by birth injury. Distribution of paralysis was mostly in postganglionic area of cervical (C)5, C6, C7, C8 and thoracal (T)1 (67%). Around two third of the cases involved the right side of upper limb. Conclusions:The study showed that most of patients with BPI are male in their productive ages. Traffic accident is the most common cause, and the most affected side is the right side of upper limb.

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Narakas classification of obstetric brachial plexus palsy revisited

Cited by 80 publications

References 12 publications

The Prevalence, Rate of Progression, and Treatment of Elbow Flexion Contracture in Children with Brachial Plexus Birth Palsy

The Prevalence, Rate of Progression, and Treatment of Elbow Flexion Contracture in Children with Brachial Plexus Birth Palsy

Lack of physician-patient communication as a key factor associated with malpractice litigation in neonatal brachial plexus palsy

Characteristics of Patient with Brachial Plexus Injury in Neurophysiology Laboratory of Dr. Hasan Sadikin General Hospital Bandung, Indonesia, from 2003 to 2012

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