OBSTETRICAL BRACHIAL PLEXUS PALSY
Transcript of OBSTETRICAL BRACHIAL PLEXUS PALSY
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OBSTETRICAL BRACHIAL PLEXUS PALSY
KHOA BỎNG – CHẤN THƯƠNG CHỈNH HÌNH
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OBSTETRICAL BRACHIAL PLEXUS PALSY
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• Abstract• The authors review the cases of 116 infants treated
consecutively for birth-related brachial plexus injuries. Twenty-eight infants with upper brachial plexus lesions who showed no neurological improvement by 4 months of age were selected for early surgical reconstruction (at a mean age of 5 months). Neurological improvement of the affected arm was observed in more than 90% (p < 0.05) of the children examined longer than 9 months after brachial plexus reconstruction. A conservatively managed control subgroup of 44 children, first examined at less managed control subgroup of 44 children, first examined at less than 3 months of age, demonstrated neurological improvement by 4 months of age and continued to show improvement at 1 year of age. Early surgical reconstruction is recommended for infants with birth-related upper brachial plexus injury who show no neurological improvement by the age of 4 months.
• August 1993 / Vol. 79 / No. 2 / Pages 197-203
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Evaluation and diagnosis
• DUCHENNE-ERB: C5 - C6 good hand, bad shoulder
• KLUMPKE-DEJERINE: C8 - D1 bad hand ,some shoulder
• REMAK: C7 • REMAK: C7
• Total : C5-C6-C7-C8-D1
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THAÙM SAÙT THAÀN KINH
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GEÙP THAÀN KINH
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