Obstetric brachial plexus palsy – risk factors and predictors.
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2007, Vol 9, Issue 6
Abstract
[b]Introduction.[/b] Obstetric brachial plexus palsy is a rare condition occurring in about 1‰ of live births. It is caused most often by traction during delivery, although in some cases clear evidence of direct injury to the nerves is not present. The aim of the study was to define risk factors for obstetric brachial plexus palsy and relate the chances of recovery to the severity of the injury. [b]Material and methods.[/b] Two prospective databases of patient information and clinical assessment data were used for the study. The first database contained information about pregnancy, labour, severity of injury, operative procedures and coexisting disorders of 162 children. The second comprised information about clinical assessment of the affected limb in 76 patients. The mean age of patients at last follow-up was 6 years and 9 months. [b]Results and conclusion.[/b] High birth weight, shoulder dystocia, forceps delivery and clavicle fracture were important risk factors in obstetric brachial plexus injury. Breech delivery was not associated with a higher incidence of nerve injuries despite literature data pointing to the contrary. A Caesarean incision reduced the risk of plexus palsy but did not eliminate it completely. In Narakas group 1 patients, recovery of biceps function occurred before the age of 4 months. The vast majority of the children will have complete recovery of the affected limb. In group III and IV, return to full function is very unlikely. Our results confirm that Narakas’ classification, apart from being very popular for classifying severity of the pathology, is a strong predictor of outcome.
Authors and Affiliations
Marcin Sibiński, Marek Synder
Keywords
Related Articles
- EP ID EP56762
- DOI -
- Views 136
- Downloads 0
Historia leczenia skolioz w Małopolsce
W pracy omówiono historię leczenia skolioz idiopatycznych w Małopolsce. Leczenie operacyjne rozpoczęto w okresie międzywojennym, a zapoczątkował je docent Juliusz Zaremba, późniejszy pierwszy Kierownik Kliniki Ortopedii...
Evaluation of lung function, chest mobility, and physical fitness during rehabilitation of scoliotic girls
SummaryBackgroundScoliosis is a common medical condition in children and adolescents, particularly girls. It is accompanied by disorders of multiple systems and organs, especially the cardiovascular and respiratory syste...
Farmakoterapia ostrego bólu krzyża
Ból krzyża to ból odcinka lędźwiowo-krzyżowego kręgosłupa zlokalizowany pomiędzy 12 żebrem a dolnymi fałdami pośladkowymi, któremu towarzyszyć może ból kończyn dolnych. Ból krzyża nie jest odrębną jednostką chorobową, le...
Objawy depresji u starszych pacjentów z chorobami układu ruchu poddanych rehabilitacji szpitalnej.
Wstęp. Ocena wpływu rehabilitacji szpitalnej na objawy depresji wśród pacjentów z chorobami kostno-stawowymi.Materiał i metody. Wśród 50 hospitalizowanych pacjentów z chorobami kostno-stawowymi przeprowadzono dwukrotnie...
Pelvic osteotomy in the neurogenic unstable hip
Background. The purpose of our study was to evaluate treatment outcome in pelvic osteotomy for neurogenic hip instability, mainly in combination with soft tissue procedures, open reduction in dislocated hips, and proxima...