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Narakas brachial

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https://www.readbyqxmd.com/read/27543083/distal-transfers-as-a-primary-treatment-in-obstetric-brachial-plexus-palsy-a-series-of-20-cases
#1
B A Ghanghurde, R Mehta, K M Ladkat, B B Raut, M R Thatte
UNLABELLED: The purpose of this study was to examine the results of spinal accessory nerve to suprascapular nerve (with or without axillary nerve neurotization) and an Oberlin transfer as primary treatment in children with Narakas type I obstetric brachial plexus injuries, when parents refused to consent to conventional nerve trunk-/root-level reconstruction. A total of 20 children with poor shoulder abduction and no biceps antigravity function but with good hand function were treated with spinal accessory nerve to suprascapular nerve and an Oberlin transfer at a mean age of 5...
October 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/26988920/recovery-of-upper-extremity-function-following-endoscopically-assisted-contralateral-c7-transfer-for-obstetrical-brachial-plexus-injury
#2
G Leblebicioglu, C Ayhan, T Firat, A Uzumcugil, M Yorubulut, M N Doral
UNLABELLED: Transfer of the contralateral C7 nerve for reconstruction of the brachial plexus in infants with obstetrical brachial plexus injury has rarely been reported. We developed a new endoscopy-assisted technique via the prevertebral (retroesophageal) route for the transfer of the contralateral C7 nerve in reconstruction of the brachial plexus. The reconstruction was performed in 20 infants (14 boys and six girls). Motor recovery was assessed using the Gilbert and Raimondi scales...
October 2016: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/26906477/functional-outcomes-of-infants-with-narakas-grade-1-birth-related-brachial-plexus-palsy-undergoing-neurotization-compared-with-infants-who-did-not-require-surgery
#3
Scott L Zuckerman, Laura A Allen, Camille Broome, Nadine Bradley, Charlie Law, Chevis Shannon, John C Wellons
PURPOSE: This study aimed to investigate the functional outcomes of infants who underwent neurotization for shoulder abduction and elbow flexion in Narakas grade 1 birth-related brachial plexus palsy (BRBPP) and compare this cohort to children who progressed past the point of needing intervention. METHODS: A cohort study was conducted at a single center between 1999 and 2010. Two-hundred and eight infants were identified with BRBPP that presented for neurosurgical care as infants...
May 2016: Child's Nervous System: ChNS: Official Journal of the International Society for Pediatric Neurosurgery
https://www.readbyqxmd.com/read/26799409/peripartum-and-neonatal-factors-associated-with-the-persistence-of-neonatal-brachial-plexus-palsy-at-1-year-a-review-of-382-cases
#4
Thomas J Wilson, Kate W C Chang, Suneet P Chauhan, Lynda J S Yang
OBJECTIVE Neonatal brachial plexus palsy (NBPP) occurs due to the stretching of the nerves of the brachial plexus before, during, or after delivery. NBPP can resolve spontaneously or become persistent. To determine if nerve surgery is indicated, predicting recovery is necessary but difficult. Historical attempts explored the association of recovery with only clinical and electrodiagnostic examinations. However, no data exist regarding the neonatal and peripartum factors associated with NBPP persistence. METHODS This retrospective cohort study involved all NBPP patients at the University of Michigan between 2005 and 2015...
May 2016: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/26541441/glenohumeral-dysplasia-following-neonatal-brachial-plexus-palsy-presentation-and-predictive-features-during-infancy
#5
Matthew L Iorio, Sarah J Menashe, Ramesh S Iyer, Sarah P Lewis, Suzanne Steinman, Kathryn B Whitlock, Raymond W Tse
PURPOSE: To evaluate the presence and degree of glenohumeral dysplasia (GHD) in infants undergoing surgical exploration for neonatal brachial plexus palsy (NBPP) and to identify potential predictive factors of early maladaptive shoulder morphology. METHODS: We included all consecutive patients with NBPP who underwent surgical exploration of their brachial plexus and who had a preoperative magnetic resonance imaging scan at our institution over a 3-year period. Demographic, therapy, and surgical data were collected...
December 2015: Journal of Hand Surgery
https://www.readbyqxmd.com/read/26327790/role-of-early-shoulder-tomography-on-the-obstetric-brachial-plexus-palsy
#6
Bruno Liberato de Souza Silva, Luiz Koiti Kimura, Bruno Eiras Crepaldi, Rames Mattar, Álvaro Baik Cho, Rubén Montiel Oviedo
OBJECTIVE: To demonstrate the importance of performing early shoulder tomography in patients with obstetric brachial plexus palsy (OBPP). METHODS: This series of cases retrospective study with level evidence IV was conducted by consulting 76 patient's medical records with OBPP divided into three age groups: ≤12 months, 13 to 24 months and ≥ 25 months. The patients were classified according to gender, affected side, type of paralysis according to Narakas classification, and by computed tomography, according to the Waters scale...
January 2015: Acta Ortopedica Brasileira
https://www.readbyqxmd.com/read/26163865/obesity-in-children-with-brachial-plexus-birth-palsy
#7
MULTICENTER STUDY
Avreeta K Singh, Janith Mills, Andrea S Bauer, Marybeth Ezaki
Fetal macrosomia is associated with a 14-fold increased risk of brachial plexus birth palsy (BPBP), and is a predictor of childhood obesity. The purpose of this study was to identify the relationships between BPBP, fetal macrosomia, and childhood obesity. We retrospectively reviewed 214 children with BPBP. The average age was 8 years and 53% had a Narakas 1 grade BPBP. Overall, 49% of children were normal weight, 22% overweight, and 29% obese. Of the children with a history of fetal macrosomia, 41% were obese; a statistically significant difference...
November 2015: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/26003870/prevalence-of-posterior-shoulder-subluxation-in-children-with-neonatal-brachial-plexus-palsy-after-early-full-passive-range-of-motion-exercises
#8
Denise Justice, Lynnette Rasmussen, Michael Di Pietro, Kate W-C Chang, Susan L Murphy, Virginia S Nelson, Lynda J-S Yang
BACKGROUND: Children with neonatal brachial plexus palsy (NBPP) are often prescribed shoulder range of motion (ROM) exercises; however, the extent and timing of exercise implementation remains controversial in the context of shoulder joint integrity. The association of ROM exercises to delayed posterior shoulder subluxation (PSS) is unknown. OBJECTIVE: To determine prevalence of PSS in children with NBPP who began full passive ROM exercises before 6 months of age, and characteristics associated with development or absence of PSS in children...
December 2015: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/25326278/comparison-between-the-anterior-and-posterior-approach-for-transfer-of-the-spinal-accessory-nerve-to-the-suprascapular-nerve-in-late-traumatic-brachial-plexus-injuries
#9
COMPARATIVE STUDY
F H M Souza, S N Bernardino, H C Azevedo Filho, P L Gobbato, R S Martins, H A L Martins, R P Silva-Néto
OBJECTIVE: To evaluate the transfer of the spinal accessory nerve to the suprascapular nerve through the anterior or posterior approach in patients with late traumatic brachial plexus injuries. METHODS: This study includes patients with late brachial plexus injuries that underwent a spinal accessory-to-suprascapular nerve transfer. They were divided into two equal groups, A and B, in which the spinal accessory nerve was transferred to the suprascapular nerve, respectively, through the anterior or posterior approach...
December 2014: Acta Neurochirurgica
https://www.readbyqxmd.com/read/25160543/high-prevalence-of-early-language-delay-exists-among-toddlers-with-neonatal-brachial-plexus-palsy
#10
Kate Wan-Chu Chang, Lynda J-S Yang, Lynn Driver, Virginia S Nelson
AIM: An association of language impairment with neonatal brachial plexus palsy has not been reported in the literature. The current treatment paradigm for neonatal brachial plexus palsy focuses on upper extremity motor recovery with little formal assessment of other aspects of development, such as language. We performed a cross-sectional pilot study to investigate early language delay prevalence in toddlers with neonatal brachial plexus palsy and potential neonatal brachial plexus palsy-related factors involved...
September 2014: Pediatric Neurology
https://www.readbyqxmd.com/read/23770351/home-exercise-dvd-promotes-exercise-accuracy-by-caregivers-of-children-and-adolescents-with-brachial-plexus-palsy
#11
Lynnette Rasmussen, Denise Justice, Kate W-C Chang, Virginia S Nelson, Lynda J-S Yang
OBJECTIVE: To evaluate the accuracy of home exercise performance by caregivers of children with neonatal brachial plexus palsy (NBPP) who use digital versatile disc (DVD) guidance. DESIGN: Prospective cohort study. SETTING: Brachial Plexus Clinic at the University of Michigan. PARTICIPANTS: Seventy-six adult caregivers of a consecutive cohort of pediatric patients with NBPP. METHODS: Caregivers received the Home Exercise Program for Brachial Plexus Palsy DVD and an initial demonstration of correct hand placement and movement patterns by 1 of 2 occupational therapists...
November 2013: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/22845694/musculoskeletal-growth-in-the-upper-arm-in-infants-after-obstetric-brachial-plexus-lesions-and-its-relation-with-residual-muscle-function
#12
Johanna M Ruoff, Johannes A van der Sluijs, Willem J van Ouwerkerk, Richard T Jaspers
AIM: Denervation after obstetric brachial plexus lesion (OBPL) is associated with reduced musculoskeletal growth in the upper arm. The aim of this study was to investigate whether reduced growth of upper arm flexor and extensor muscles is related to active elbow function and humeral length. METHOD: In this study, 31 infants age less than 6 months (mean age 4.3mo; range 2.1-5.9mo; 17 males; 14 females;) with unilateral OBPL (Narakas class I, 19; II, 3; III, 2; and IV, 7) treated at the VU medical centre, in whom neurosurgical reconstruction was considered were prospectively studied using magnetic resonance imaging of both arms at a mean age of 4...
November 2012: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/22000310/torticollis-associated-with-neonatal-brachial-plexus-palsy
#13
Shawn L Hervey-Jumper, Denise Justice, Monique M Vanaman, Virginia S Nelson, Lynda J-S Yang
We investigate the incidence of torticollis associated with neonatal brachial plexus palsy, whether the severity of brachial plexus palsy affects outcomes and the rate of recovery. We performed a retrospective review of 128 consecutive neonatal brachial plexus palsy patients evaluated at the University of Michigan from 2005-2009. Patients were followed for at least 3 months, with regular physical examinations and imaging. Forty-three percent presented concurrently with torticollis. Significant differences were evident in mean age at first brachial plexus examination, suggesting that patients with concurrent torticollis present earlier for clinical examination...
November 2011: Pediatric Neurology
https://www.readbyqxmd.com/read/21470762/burnout-depression-and-anxiety-levels-in-mothers-of-infants-with-brachial-plexus-injury-and-the-effects-of-recovery-on-mothers-mental-health
#14
Kiymet Ikbal Karadavut, Sukran Ozden Uneri
OBJECTIVE: To evaluate depression, anxiety and burnout in mothers of infants with brachial plexus injury and assess the effects of the severity of injury on the mothers' mental health, as the literature provides no information on this topic. STUDY DESIGN: The study was based on eighteen mothers without psychiatric antecedents who had infants with perinatal brachial plexus paralysis (PBPP). The severity of the brachial plexus injury was classified according to the Narakas classification system...
July 2011: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/21121738/the-value-of-preoperative-and-intraoperative-electromyography-in-the-management-of-obstetric-brachial-plexus-injury
#15
Kuen F Chin, Livio Di Mascio, Karen Holmes, V Peter Misra, Marco M Sinisi
The treatment of obstetric brachial plexus palsy (OBPP) with neuroma-in-continuity is controversial. The recent literature advocates excision of neuroma-in-continuity in OBPP and repair with nerve graft irrespective of its neurophysiological conductivity. This approach risks sacrificing the regenerating axons, and the result has not yet been proven to be superior to neurolysis alone. In this case report, the authors aim to outline their strategy of using the combination of preoperative and intraoperative clinical and neurophysiological findings to aid their decision making...
December 2010: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/19885693/prognosis-following-neonatal-brachial-plexus-palsy-an-evidence-based-review
#16
Susan L Foad, Charles T Mehlman, Mohab B Foad, William C Lippert
PURPOSE: The spontaneous recovery rate of neonatal brachial plexus palsy (NBPP) is often cited as 75-95%. However, recent reports have found the recovery rate to be much lower. The purpose of this study was to perform an evidence-based review aimed at summarizing the available English language information regarding prognosis following NBPP based on the Narakas classification. METHODS: A Medline database search was performed to identify articles that focused on the natural history, outcome, prognosis, or conservative treatment of neonatal brachial plexus birth injury from 1966 to 2006...
December 2009: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/19797571/correlation-of-radiographic-muscle-cross-sectional-area-with-glenohumeral-deformity-in-children-with-brachial-plexus-birth-palsy
#17
Peter M Waters, James T Monica, Brandon E Earp, David Zurakowski, Donald S Bae
BACKGROUND: Muscle imbalance about the shoulder in children with persistent brachial plexus birth palsy is thought to contribute to glenohumeral joint deformity. We quantified cross-sectional areas of the internal and external rotator muscles in the shoulder by magnetic resonance imaging in patients with chronic brachial plexopathy and the correlation between these muscle cross-sectional area ratios and glenohumeral deformity. The purposes of this investigation were to evaluate differences in the ratios between affected and unaffected shoulders in the same individual and to assess whether an increased internal to external rotator muscle cross-sectional area correlated with greater glenohumeral deformity...
October 2009: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/19786407/narakas-classification-of-obstetric-brachial-plexus-palsy-revisited
#18
M M Al-Qattan, A A F El-Sayed, A Y Al-Zahrani, S A Al-Mutairi, M S Al-Harbi, A M Al-Mutairi, F S Al-Kahtani
Narakas classified babies with obstetric palsy into four groups: upper Erb's, extended Erb's, total palsy, and total palsy with a Horner. Over the last 15 years, it was noted at our obstetric palsy clinic that good spontaneous recovery in newborns with extended Erb's palsy (C5, C6, C7 injury) was more likely if they recovered active wrist extension against gravity before 2 months of age. A hypothesis was made that newborns with extended Erb's palsy (Narakas Group II) may be subclassified into two groups according to this 'early recovery of wrist extension...
December 2009: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/19336813/the-supination-deformity-and-associated-deformities-of-the-upper-limb-in-severe-birth-lesions-of-the-brachial-plexus
#19
A Yam, S Fullilove, M Sinisi, M Fox
We reviewed 42 consecutive children with a supination deformity of the forearm complicating severe birth lesions of the brachial plexus. The overall incidence over the study period was 6.9% (48 of 696). It was absent in those in Narakas group I (27.6) and occurred in 5.7% of group II (13 of 229), 9.6% of group III (11 of 114) and 23.4% of group IV (18 of 77). Concurrent deformities at the shoulder, elbow, wrist and hand were always present because of muscular imbalance from poor recovery of C5 and C7, inconsistent recovery of C8 and T1 and good recovery of C6...
April 2009: Journal of Bone and Joint Surgery. British Volume
https://www.readbyqxmd.com/read/18505571/functional-outcome-of-nerve-transfer-for-restoration-of-shoulder-and-elbow-function-in-upper-brachial-plexus-injury
#20
Hari Venkatramani, Praveen Bhardwaj, Sajedur Reza Faruquee, S Raja Sabapathy
BACKGROUND: Purpose of this study was to evaluate the functional outcome of spinal accessory to suprascapular nerve transfer (XI-SSN) done for restoration of shoulder function and partial transfer of ulnar nerve to the motor branch to the biceps muscle for the recovery of elbow flexion (Oberlin transfer). METHODS: This is a prospective study involving 15 consecutive cases of upper plexus injury seen between January 2004 and December 2005. The average age of patients was 35...
2008: Journal of Brachial Plexus and Peripheral Nerve Injury
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