Peripheral Nerve Injuries

Jobe, Mark T.; Martinez, Santos F.

doi:10.1016/b978-0-323-07243-4.00062-1

Cited by 9 publications

(10 citation statements)

References 331 publications

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“…Incidences of OBPP range from 0.1% to 0.4% of live births, with rates climbing in recent years due to increasing birth weights. 17 Risk factors for OBPP include shoulder dystocia, vacuum delivery, macrosomia, prolonged second stage of delivery, and breech delivery. 6 Injuries occur when the abducted arm is placed in traction, which leads to stretching of the upper or lower plexus.…”

Section: Discussionmentioning

confidence: 99%

“…6 Injuries occur when the abducted arm is placed in traction, which leads to stretching of the upper or lower plexus. 12,17,37 Clavicle fractures are seen in 10%-15% of cases. 17 OBPPs are classified according to location.…”

Section: Discussionmentioning

confidence: 99%

“…12,17,37 Clavicle fractures are seen in 10%-15% of cases. 17 OBPPs are classified according to location. Upper root level injuries occur most frequently, in 90% of patients, and result in Erb's palsy-paresis of the supraspinatus, infraspinatus, and deltoid muscles.…”

Section: Discussionmentioning

confidence: 99%

“…Upper root level injuries occur most frequently, in 90% of patients, and result in Erb's palsy-paresis of the supraspinatus, infraspinatus, and deltoid muscles. 17 The arm is internally rotated with limited abduction, the elbow in complete extension, and the thumb flexed. The majority of upper plexus OBPPs involve multiple nerves (axillary, suprascapular, and biceps).…”

Section: Discussionmentioning

confidence: 99%

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Radial to axillary nerve neurotization for brachial plexus injury in children: a combined case series

Zuckerman¹,

Eli²,

Shah

et al. 2014

PED

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Object Axillary nerve palsy, isolated or as part of a more complex brachial plexus injury, can have profound effects on upper-extremity function. Radial to axillary nerve neurotization is a useful technique for regaining shoulder abduction with little compromise of other neurological function. A combined experience of this procedure used in children is reviewed. Methods A retrospective review of the authors' experience across 3 tertiary care centers with brachial plexus and peripheral nerve injury in children (younger than 18 years) revealed 7 cases involving patients with axillary nerve injury as part of an overall brachial plexus injury with persistent shoulder abduction deficits. Two surgical approaches to the region were used. Results Four infants (ages 0.6, 0.8, 0.8, and 0.6 years) and 3 older children (ages 8, 15, and 17 years) underwent surgical intervention. No patient had significant shoulder abduction past 15° preoperatively. In 3 cases, additional neurotization was performed in conjunction with the procedure of interest. Two surgical approaches were used: posterior and transaxillary. All patients displayed improvement in shoulder abduction. All were able to activate their deltoid muscle to raise their arm against gravity and 4 of 7 were able to abduct against resistance. The median duration of follow-up was 15 months (range 8 months to 5.9 years). Conclusions Radial to axillary nerve neurotization improved shoulder abduction in this series of patients treated at 3 institutions. While rarely used in children, this neurotization procedure is an excellent option to restore deltoid function in children with brachial plexus injury due to birth or accidental trauma.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Radial to axillary nerve neurotization for brachial plexus injury in children: a combined case series

Zuckerman¹,

Eli²,

Shah

et al. 2014

PED

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“…Because radial nerve injuries are the least debilitating of the upper limb nerve injuries, results are usually satisfactory. 1,2 …”

Section: Introductionmentioning

confidence: 99%

Radial nerve palsy

Bumbaširević

Palibrk²,

Lešić

et al. 2016

EFORT Open Reviews

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As a result of its proximity to the humeral shaft, as well as its long and tortuous course, the radial nerve is the most frequently injured major nerve in the upper limb, with its close proximity to the bone making it vulnerable when fractures occur.Injury is most frequently sustained during humeral fracture and gunshot injuries, but iatrogenic injuries are not unusual following surgical treatment of various other pathologies.Treatment is usually non-operative, but surgery is sometimes necessary, using a variety of often imaginative procedures. Because radial nerve injuries are the least debilitating of the upper limb nerve injuries, results are usually satisfactory.Conservative treatment certainly has a role, and one of the most important aspects of this treatment is to maintain a full passive range of motion in all the affected joints.Surgical treatment is indicated in cases when nerve transection is obvious, as in open injuries or when there is no clinical improvement after a period of conservative treatment. Different techniques are used including direct suture or nerve grafting, vascularised nerve grafts, direct nerve transfer, tendon transfer, functional muscle transfer or the promising, newer treatment of biological therapy.Cite this article: Bumbasirevic M, Palibrk T, Lesic A, Atkinson HDE. Radial nerve palsy. EFORT Open Rev 2016;1:286-294. DOI: 10.1302/2058-5241.1.000028.

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The History of Nerve Repair

Standring

2022

Peripheral Nerve Tissue Engineering and Regeneration

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Peripheral Nerve Injuries

Cited by 9 publications

References 331 publications

Radial to axillary nerve neurotization for brachial plexus injury in children: a combined case series

Radial to axillary nerve neurotization for brachial plexus injury in children: a combined case series

Radial nerve palsy

The History of Nerve Repair

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