Obstetric brachial plexus injury

Obstetric brachial plexus injury (OBPI), also known as birth brachial plexus injury (BBPI), is unfortunately a rather common injury in newborn children. Incidence varies between 0.15 and 3 per 1000 live births in various series and countries. Although spontaneous recovery is known, there is a large...

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Main Authors: Mukund R Thatte, Rujuta Mehta
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2011-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=3;spage=380;epage=389;aulast=Thatte
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author Mukund R Thatte
Rujuta Mehta
author_facet Mukund R Thatte
Rujuta Mehta
author_sort Mukund R Thatte
collection DOAJ
description Obstetric brachial plexus injury (OBPI), also known as birth brachial plexus injury (BBPI), is unfortunately a rather common injury in newborn children. Incidence varies between 0.15 and 3 per 1000 live births in various series and countries. Although spontaneous recovery is known, there is a large subset which does not recover and needs primary or secondary surgical intervention. An extensive review of peer-reviewed publications has been done in this study, including clinical papers, review articles and systematic review of the subject. In addition, the authors′ experience of several hundred cases over the last 15 years has been added and has influenced the ultimate text. Causes of OBPI, indications of primary nerve surgery and secondary reconstruction of shoulder, etc. are discussed in detail. Although all affected children do not require surgery in infancy, a substantial proportion of them, however, require it and are better off for it. Secondary surgery is needed for shoulder elbow and hand problems. Results of nerve surgery are very encouraging. Children with OBPI should be seen early by a hand surgeon dealing with brachial plexus injuries. Good results are possible with early and appropriate intervention even in severe cases.
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spelling doaj.art-7495464e461e48c19e7c263186b27c272022-12-21T23:26:20ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2011-01-0144338038910.4103/0970-0358.90805Obstetric brachial plexus injuryMukund R ThatteRujuta MehtaObstetric brachial plexus injury (OBPI), also known as birth brachial plexus injury (BBPI), is unfortunately a rather common injury in newborn children. Incidence varies between 0.15 and 3 per 1000 live births in various series and countries. Although spontaneous recovery is known, there is a large subset which does not recover and needs primary or secondary surgical intervention. An extensive review of peer-reviewed publications has been done in this study, including clinical papers, review articles and systematic review of the subject. In addition, the authors′ experience of several hundred cases over the last 15 years has been added and has influenced the ultimate text. Causes of OBPI, indications of primary nerve surgery and secondary reconstruction of shoulder, etc. are discussed in detail. Although all affected children do not require surgery in infancy, a substantial proportion of them, however, require it and are better off for it. Secondary surgery is needed for shoulder elbow and hand problems. Results of nerve surgery are very encouraging. Children with OBPI should be seen early by a hand surgeon dealing with brachial plexus injuries. Good results are possible with early and appropriate intervention even in severe cases.http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=3;spage=380;epage=389;aulast=ThatteBirth brachial plexus injuryobstetric palsyprimary surgery
spellingShingle Mukund R Thatte
Rujuta Mehta
Obstetric brachial plexus injury
Indian Journal of Plastic Surgery
Birth brachial plexus injury
obstetric palsy
primary surgery
title Obstetric brachial plexus injury
title_full Obstetric brachial plexus injury
title_fullStr Obstetric brachial plexus injury
title_full_unstemmed Obstetric brachial plexus injury
title_short Obstetric brachial plexus injury
title_sort obstetric brachial plexus injury
topic Birth brachial plexus injury
obstetric palsy
primary surgery
url http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=3;spage=380;epage=389;aulast=Thatte
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