Late reconstruction of brachial plexus birth palsy

Sarah E. Sibbel, Andrea S. Bauer, Michelle James

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

Brachial plexus birth palsy (BPBP) presents to the physician on a clinical spectrum, and may substantially impair the child. Potential interventions to improve function for the child with BPBP include physical therapy, microsurgical nerve reconstruction and nerve transfers, soft-tissue balancing and reconstruction with musculotendinous transfers, and osteotomies. Some interventions, such as nerve reconstruction, are best performed in infancy; others, such as muscle transfers and osteotomies, are performed to treat manifestations of this condition that appear later in childhood. Although controversy continues to exist regarding the natural history and surgical management of these patients, recent literature has improved our understanding of surgical indications, anticipated outcomes, and potential complications. On the basis of current evidence, we present here the recommendations for surgical intervention in the upper extremity of children with BPBP, and encourage early referral to a brachial plexus specialist to establish care.

Original languageEnglish (US)
Pages (from-to)S57-S62
JournalJournal of Pediatric Orthopaedics
Volume34
StatePublished - 2014
Externally publishedYes

Keywords

  • Brachial plexus birth palsy
  • Late reconstruction for brachial plexus
  • Microsurgery
  • Shoulder reconstruction
  • Tendon transfer

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Orthopedics and Sports Medicine

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