Obstetrical brachial plexus palsy (OBPP) outcome with conservative management

Eng, Gloria D.; Binder, Helga; Getson, Pamela R.; O’Donnell, Regina

doi:10.1002/(sici)1097-4598(199607)19:7<884::aid-mus11>3.0.co;2-j

Cited by 124 publications

(85 citation statements)

References 20 publications

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“…Some advocate that immobilization may be useful for pain treatment during the first week 48 , but it is difficult to evaluate pain in these patients. It seems that NBPP is not painful, at least in older patients 49 .…”

Section: Rehabilitationmentioning

confidence: 99%

“…It is a good idea to include it in other routine activity such as changing dippers. As soon as the child shows intentional voluntary control, it is important to stimulate the affected limb to avoid developmental apraxia 19,48 . Encouraging bimanual activities is an interesting strategy for that 51 .…”

Section: Rehabilitationmentioning

confidence: 99%

“…Encouraging bimanual activities is an interesting strategy for that 51 . Wrist splinting can help to enhance hand function in cases of wrist drop 48 , as long as it does not prevent limb use during daytime. Aberrant reinnervation can result in biceps-triceps cocontraction 19 , which can be treated with botulinum toxin 52 .…”

Section: Rehabilitationmentioning

confidence: 99%

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Neonatal brachial plexus palsy: a permanent challenge

Heise

Martins

Siqueira

2015

Arq. Neuro-Psiquiatr.

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Neonatal brachial plexus palsy (NBPP) has an incidence of 1.5 cases per 1000 live births and it has not declined despite recent advances in obstetrics. Most patients will recover spontaneously, but some will remain severely handicapped. Rehabilitation is important in most cases and brachial plexus surgery can improve the functional outcome of selected patients. This review highlights the current management of infants with NBPP, including conservative and operative approaches.

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Section: Rehabilitationmentioning

confidence: 99%

Section: Rehabilitationmentioning

confidence: 99%

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Neonatal brachial plexus palsy: a permanent challenge

Heise

Martins

Siqueira

2015

Arq. Neuro-Psiquiatr.

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“…It can occur if the infant's head and neck are pulled towards the side at the same time as the shoulders pass through the birth canal [7]. The condition can also be caused by excessive pulling on the shoulders during a cephalic presentation, or by pressure on the raised arms during a breech delivery [8]. Erb's palsy can also affect neonates with clavicular fracture unrelated to dystocia [9].…”

Section: Introductionmentioning

confidence: 99%

A Case of Erb-Duchenne Palsy in a Man, Aged 24

Osabutey¹

2017

MOJAP

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Erb's palsy or Erb-Duchenne palsy is a paralysis of the arm caused by traction injury to the upper trunk of the brachial plexus. It is commonly, but not exclusively, caused by dystocia, an abnormal or difficult childbirth or labour. It can occur if the infant's head and neck are pulled towards the side at the same time as the shoulders pass through the birth canal. Erb's palsy in adults is comparatively uncommon; it may follow trauma to the head and shoulder causing violently stretching of the nerves of the upper trunk of the brachial plexus. The anatomical basis of the clinical presentations has not been described in the literature, thus clinical diagnosis is difficult. In the current paper, case of Erb's palsy in an adult is presented. It has been demonstrated that, suprascapular nerve (C5, 6), musculocutaneous nerve (C5, 6, 7) and axillary nerve (C5, 6) are the branches of the brachial plexus involved in Erb's palsy. The skeletal muscles innervated by these nerves are severely affected compared to the cutaneous nerves that supply general sensation to the skin. The Erb's palsy in adult is very uncommon, the knowledge of this anatomy of the clinical presentation is important in the diagnosis and proper management of the condition.

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“…Embora alguns autores defendam a eletroneuromiografia como importante ferramenta na avaliação de pacientes com PBO (FLEITES et al, 1990;ENG et al, 1996;GOPINATH et al, 2002), resultados desanimadores foram relatados por vários pesquisadores (GILBERT et al, 1988;HUNT, 1998;HENZ e MEYER, 1991;LAURENT e LEE, 1994;CLARKE e CURTIS, 1995;SHERBURN et al, 1997;SHENAQ et al, 1998 inervaria parte dos miótomos C 5 e C 6 (VREDEVELD et al, 2000); a reinervação aberrante decorrente do direcionamento errôneo dos brotos axoniais (ROTH, 1983) e a apraxia resultante da falta de estimulação sensitivo-motora do membro afetado (BROWN et al, 2000).…”

Section: Avaliação Neurofisiológicaunclassified

Avaliação eletroneurográfica comparativa precoce de pacientes com plexopatia braquial obstétrica

Heise¹

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Obstetrical brachial plexus palsy (OBPP) outcome with conservative management

Cited by 124 publications

References 20 publications

Neonatal brachial plexus palsy: a permanent challenge

Neonatal brachial plexus palsy: a permanent challenge

A Case of Erb-Duchenne Palsy in a Man, Aged 24

Avaliação eletroneurográfica comparativa precoce de pacientes com plexopatia braquial obstétrica

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