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erbs palsy

David A Crosby, Sahar Ahmed, Aminah Razley, John J Morrison
AIM: Infant birthweight≥5.0 kg represents a significant risk factor for mother and neonate. The objective of this study was to examine the obstetric and neonatal outcome measures in a large cohort of such deliveries. METHODS: The data used for this study were prospectively entered into an obstetric computerized database during the period 1989-2013. All pregnancies where the delivery resulted in an infant weighing ≥5.0kg were identified. The results were retrospectively analyzed separately for parity, and a separate analysis was performed comparing the outcome measures observed in the earlier years of the study with those of the later years...
December 6, 2016: Journal of Maternal-fetal & Neonatal Medicine
Gamal Ahmed Hosny
INTRODUCTION: Ilizarov principles and hybrid fixation have improved the results of humeral lengthening. We reviewed the literature on humeral lengthening using different fixators with regard to indications, operative technique, results and complications. We also retrospectively reviewed 56 segments in 46 patients treated with humeral lengthening and deformity correction using Ilizarov external fixation. The etiology was achondroplasia (10 patients), epiphyseal injury (8 cases), infection (11 cases) and Erb's palsy (17 cases)...
December 2016: Journal of Children's Orthopaedics
Mohamed Mansour Elzohairy, Adel Mohamed Salama
INTRODUCTION: The purpose of this study was to evaluate shoulder function following minimally invasive subtotal subscapularis muscle and periarticular capsuloligamentous arthroscopic release in children with Erb's palsy. METHODS: A prospective study was conducted on 15 consecutive children who underwent subtotal subscapularis muscle and periarticular capsuloligamentous arthroscopic release to treat internal rotation contracture of the shoulder joint after Erb's palsy...
December 2016: Journal of Children's Orthopaedics
Shokei Yamada, Russell R Lonser, Daniel J Won, Bryan E Tsao
INTRODUCTION: Previously, the authors presented the coaptation of C3 and C4 primary rami to one of brachial plexus trunks to regain function from cervical root avulsion-caused paralysis. The purpose of this presentation is 2-fold: (1) discuss specific surgical techniques and (2) discuss control or prevention of intractable pain associated with root avulsion. METHODS: (1) The surgical procedure consists of exposure of C3 and C4 anterior rami coaptation to the upper trunk (Erb-Duchenne) or lower trunk (Klumpke), with sural nerve bridge graft, and additionally intercostal nerve coaptation to median and ulnar nerves for flail arm...
August 2016: Neurosurgery
Kristen M Davidge, Howard M Clarke, Gregory H Borschel
This article reviews the assessment and management of obstetrical brachial plexus palsy. The potential role of distal nerve transfers in the treatment of infants with Erb's palsy is discussed. Current evidence for motor outcomes after traditional reconstruction via interpositional nerve grafting and extraplexal nerve transfers is reviewed and compared with the recent literature on intraplexal distal nerve transfers in obstetrical brachial plexus injury.
May 2016: Hand Clinics
Roberta de Matos Figueiredo, Giuliana Grechi, Ricardo de Amoreira Gepp
PURPOSE: Most cases of obstetric brachial plexus palsy (OBPP) involve C5 and C6 nerve roots (Erb's palsy). In those cases, re-establishing the elbow flexion is the primary goal of surgery. The partial transfer of the ulnar nerve to the musculocutaneous nerve (Oberlin's procedure) is widely used in adults, but incipient in children. The purpose of this study is to describe the results obtained with such procedure as regards the improvement of the elbow flexion and donor nerve morbidity...
June 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Ashley Dawson, Eliana Vasquez, David Garrett, Frank S Harris, Ibrahim M El Nihum, Samantha Dayawansa, Jason H Huang, Soren Singel
Mapping nerve deficits during a physical exam after trauma to the upper extremity can help determine not only if the brachial plexus was injured but also which nerve roots were involved. A 28-year-old male presented with simultaneous signs and symptoms of Erb's (C5) and Klumpke's (C8, T1) palsy, with sparing of the C6 and C7 roots. The patient presented several months ago to his local emergency room with shortness of breath, which was determined to be caused by left diaphragmatic paralysis through clinical and radiographical evidence...
December 16, 2015: World Journal of Clinical Cases
Rui Araújo, Joaquim J Ferreira, Angelo Antonini, Bastiaan R Bloem
OBJECTIVE: To postulate a new possible cause of a unilaterally reduced arm swing in addition to the known medical conditions such as shoulder pathology, Erb's palsy, stroke, and Parkinson's disease. METHODS: Analysis of YouTube videos depicting the gait of highly ranked Russian officials. RESULTS: We found a similar walking pattern in President Vladimir Putin, Prime Minister Dmitry Medvedev and three other highly ranked Russian officials, all presenting with a consistently reduced right arm swing in the absence of other overt neurological abnormalities...
December 14, 2015: BMJ: British Medical Journal
Ravi Sankaran, Rohan Shah, Sajesh Menon, Ashok Pillai
INTRODUCTION: Subaxial spine injuries during infancy are uncommon. CASE REPORT: We present the case of an infant referred to our brachial plexus clinic with proximal weakness of both arms noted immediately following a complicated breech delivery. Nerve conduction studies were consistent with bilateral proximal upper plexus injury; however, radiological evaluation revealed a C4-C5 subluxation and MRI features of bilateral C5 root avulsions. He was immobilized in a cervical-body orthosis and underwent open reduction and posterior C4-C5-C6 fixation at 10 weeks age using luque rods, sublaminar wires, and rib graft...
May 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
Elias Naoum, Elie Saghbini, Elias Melhem, Ismat Ghanem
INTRODUCTION: The purpose of this paper was to evaluate the results on shoulder function following isolated proximal subscapularis release in children with Erb's palsy. METHODS: A retrospective study was conducted on 64 consecutive children with Erb's palsy who underwent a Carlioz proximal subscapularis release between 2001 and 2012. Fifty children with complete records and a minimum follow-up of 2 years were included for evaluation. Age at surgery ranged from 1...
October 2015: Journal of Children's Orthopaedics
Sreenivasa Rao Sudulagunta, Mahesh Babu Sodalagunta, Mona Sepehrar, Hadi Khorram, Shiva Kumar Bangalore Raja, Shyamala Kothandapani, Zahra Noroozpour, Mohammed Aheta Sham, Nagendra Prasad, Sony Parethu Sunny, Munawar Dhanish Mohammed, Rekha Gangadharappa, Ranjitha Nidsale Sudarshan
INTRODUCTION: Guillain-Barré syndrome (GBS) is a fulminant polyradiculoneuropathy that is acute, frequently severe and autoimmune in nature. Etiology of GBS is incompletely understood, prognosis is usually good with early detection and prompt treatment. This retrospective study was done to evaluate clinical profile, epidemiological, laboratory, and electrodiagnostic features of patients with GBS and mode of management, complications and prognostic factors. METHODS: Data of 1,166 patients admitted with GBS or presented to outpatient department (previous medical records) with GBS between January 2003 and January 2014 were analyzed...
2015: German Medical Science: GMS E-journal
Brian M Casey, Elaine L Duryea, Mina Abbassi-Ghanavati, Carmen M Tudela, Stephan A Shivvers, Donald D McIntire, Kenneth J Leveno
OBJECTIVE: To evaluate whether the addition of glyburide to diet therapy modifies pregnancy outcomes in women with mild gestational diabetes. METHODS: Women with at least two abnormal values on a 3-hour, 100-g oral glucose tolerance test according to National Diabetes Data Group criteria and fasting values less than 105 mg/dL between 24 and 30 weeks of gestation were randomized to blinded glyburide or placebo study drug. All women were placed on a 35-kcal/kg diet and recorded four times daily capillary glucose measurements...
August 2015: Obstetrics and Gynecology
Omoyemi O Ogwumike, Ade F Adeniyi, Umar Badaru, Joan O Onimisi
New-born Brachial Plexus Palsy (NBPP) is birth injury resulting from traction to the brachial plexus at birth. It is an injury to two or more cervical or thoracic nerve roots. It has been reported to be one of the most common birth injuries of the new-born. Persistent presentation of children with NBPP in Nigeria paediatric practice necessitates the need to examine prevalence, patterns and possible predisposing factors. This study therefore investigated retrospectively, profiles of children who presented with NBPP over a ten year period and were managed at the Physiotherapy department of the University College Hospital, Ibadan Nigeria...
June 19, 2014: Nigerian Journal of Physiological Sciences: Official Publication of the Physiological Society of Nigeria
Raymond Tse, Scott H Kozin, Martijn J Malessy, Howard M Clarke
Nerve transfers have gained popularity in the treatment of adult brachial plexus palsy; however, their role in the treatment of neonatal brachial plexus palsy (NBPP) remains unclear. Brachial plexus palsies in infants differ greatly from those in adults in the patterns of injury, potential for recovery, and influences of growth and development. This International Federation of Societies for Surgery of the Hand committee report on NBPP is based upon review of the current literature. We found no direct comparisons of nerve grafting to nerve transfer for primary reconstruction of NBPP...
June 2015: Journal of Hand Surgery
Catherine Anne Cluver, G Justus Hofmeyr
OBJECTIVE: The purpose of this study was to report on all cases in which posterior axilla sling traction (PAST) has been used to deliver cases of intractable shoulder dystocia and to describe a new method of shoulder rotation with the sling. STUDY DESIGN: A record of all published and known cases was collected that included information on preliminary obstetric techniques that were used and how the PAST technique was performed. Maternal outcomes that included maternal injury and length of hospital stay and fetal outcomes, which included birthweight, Apgar scores, nerve injuries, fractures, hospital stay, and outcome, were documented...
June 2015: American Journal of Obstetrics and Gynecology
Aneta Malinowska-Polubiec, Ewa Romejko-Wolniewicz, Oksana Szostak, Agnieszka Dobrowolska-Redo, Justyna Tolloczko, Julia Zareba-Szczudlik, Roman Smolarczyk, Krzysztof Czajkowski
OBJECTIVES: Shoulder dystocia remains an obstetric emergency. Maternal diabetes is considered to be one of the major risk factors for shoulder dystocia. The aim of this study was to analyze antepartum and peripartum risk factors and complications of shoulder dystocia in diabetic and non-diabetic women. DESIGN: We performed a retrospective analysis of 48 shoulder dystocia cases out of 28,485 vaginal deliveries of singleton, live-born infants over a 13 year period: 13 cases were diagnosed in diabetic women and 35 cases in non-diabetic women...
2014: Neuro Endocrinology Letters
Mark P Hehir, Ann F Mchugh, Patrick J Maguire, Rhona Mahony
OBJECTIVE: Management of extremely large birthweight infants presents challenges during the period of labour and delivery. We sought to examine outcomes in infants with extreme macrosomia (birthweight > 5000 g), at an institution where the management of labour is standardised. MATERIALS AND METHODS: This is a retrospective analysis of prospectively gathered data on all infants with a birthweight >5000 g delivered at a tertiary level institution from 2008 to 2012...
February 2015: Australian & New Zealand Journal of Obstetrics & Gynaecology
Radwa S ElKhatib, Emam H ElNegmy, Amina H Salem, AbdelAziz A Sherief
An Erb's Engram is a common debility that develops in recovering children with Erb's palsy. The purpose of this study was to investigate the effect of kinesiotaping over the deltoid and the forearm on the development of proper upper extremity function in children recovering from Erb's palsy. Thirty patients with Erb's palsy participated for 3 months in this study and were equally divided into two groups; control group A and study group B. The two groups received the same designed physical therapy program, while group B along the program, received kinesiotaping over the deltoid and the forearm...
November 2013: Journal of Advanced Research
Sushma Malik, Heena Sudhir Bhandekar, Charusheela Sujit Korday
Traumatic peripheral nerve palsies in the newborn are uncommon but are a cause of severe anxiety in parents. Erb's palsy, brachial plexus, radial nerve and facial nerve are the common nerves affected. Perinatal injuries are the most frequent cause of traumatic peripheral neuropraxias / nerve palsies. Usually these neuropraxias are self-limited with good recovery with conservative management in majority of cases.Ten neonates with peripheral neuropraxias were included in this retrospective study based on a review of these cases over a period of three and a half years...
October 2014: Journal of Clinical and Diagnostic Research: JCDR
Wassia Kessomtini, Wafa Chebbi
No abstract text is available yet for this article.
2014: Pan African Medical Journal
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