Brachial Plexus Birth Injury: A Single-Center Study.
Clin Pediatr (Phila)
; 62(12): 1489-1496, 2023 12.
Article
em En
| MEDLINE
| ID: mdl-36964689
ABSTRACT
Infants can sustain traction injury to brachial plexus nerves during birth, called brachial plexus birth injury (BPBI). While spontaneous recovery is possible, upper extremity weakness can linger. We report our experience at a brachial plexus clinic from a retrospective chart review of infants with BPBI from September 2017 to September 2019. We determined Narakas Classification (NC) and Active Movement Scale (AMS) at predetermined follow-up points. Of 15 patients, 8 presented with NC-I, 5 with NC-II, and 2 with NC-III without Horner's syndrome. By 7 months, 3 had spontaneous recovery, and 4 achieved all and another 4 achieved most AMS5-7 scores. Eleven patients undergoing surgery had little-to-no improvement of shoulder abduction and shoulder external rotation AMS categories by 6 months. Our small sample size prevents us from making definitive conclusions but gave beneficial insight into our clinic barriers to follow-up, data collection, and collaboration with physical and occupational therapy.
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Base de dados:
MEDLINE
Assunto principal:
Traumatismos do Nascimento
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Plexo Braquial
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Neuropatias do Plexo Braquial
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article