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Clarke curtis brachial palsy

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https://www.readbyqxmd.com/read/25817754/pain-in-children-following-microsurgical-reconstruction-for-obstetrical-brachial-plexus-palsy
#1
Emily S Ho, Christine G Curtis, Howard M Clarke
PURPOSE: To determine the prevalence and characteristics of pain experienced by children who have had microsurgical reconstruction for obstetrical brachial plexus palsy (OBPP). METHODS: A prospective case series study was conducted of 65 children aged 6 to 18 years with a diagnosis of OBPP and who had microsurgery at less than 12 months of age with nerve grafting or transfer. A total of 28 patients (43%) had upper OBPP and 37 (57%) had total OBPP. We evaluated pain using the Faces Pain Scale-Revised and the Adolescent Pediatric Pain Tool...
June 2015: Journal of Hand Surgery
https://www.readbyqxmd.com/read/24524082/extending-the-indications-for-primary-nerve-surgery-in-obstetrical-brachial-plexus-palsy
#2
Stuart A Bade, Jenny C Lin, Christine G Curtis, Howard M Clarke
PURPOSE: This study identifies a small subset of patients with obstetrical brachial plexus palsy who, while they do not meet common surgical indications, may still benefit from primary nerve surgery. METHODS: Between April 2004 and April 2009, 17 patients were offered primary nerve surgery despite not meeting the standard surgical indications of the authors. The authors performed a retrospective analysis of these 17 patients using prospectively collected data. RESULTS: This group of 17 patients were identified as having poor shoulder function at about 9 months of age despite passing the Cookie Test...
2014: BioMed Research International
https://www.readbyqxmd.com/read/23714792/botulinum-toxin-for-the-treatment-of-motor-imbalance-in-obstetrical-brachial-plexus-palsy
#3
Ehud Arad, Derek Stephens, Christine G Curtis, Howard M Clarke
BACKGROUND: Residual muscle imbalance is a common problem affecting obstetrical brachial plexus palsy patients. The goal of this study was to examine the efficacy of botulinum toxin type A (Botox) in improving this muscle imbalance. METHODS: The authors retrospectively reviewed obstetrical brachial plexus palsy patients treated with Botox for muscle imbalance as an isolated procedure. Outcomes were the change in Active Movement Scale scores from pre-Botox scores to scores at 1 month after Botox and 1 year after Botox...
June 2013: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/23224385/combined-glenoid-anteversion-osteotomy-and-tendon-transfers-for-brachial-plexus-birth-palsy-early-outcomes
#4
Emily Dodwell, Jamie O'Callaghan, Alison Anthony, Paul Jellicoe, Maulin Shah, Christine Curtis, Howard Clarke, Sevan Hopyan
BACKGROUND: In the setting of severe glenohumeral dysplasia secondary to brachial plexus birth palsy, external rotation osteotomy of the humerus has traditionally been used to transpose the existing arc of shoulder motion to a more functional position. Here we introduce a surgical alternative, the aim of which is to gain stable reduction of the shoulder and restore active external rotation. METHODS: All patients with brachial plexus birth palsy and Waters type-III, IV, or V glenohumeral dysplasia who underwent glenoid anteversion osteotomy combined with tendon transfers between 2006 and 2009 were identified...
December 5, 2012: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/22818900/the-brachial-plexus-outcome-measure-development-internal-consistency-and-construct-validity
#5
Emily S Ho, Christine G Curtis, Howard M Clarke
PURPOSE: The purpose of this article was to report the development of a new assessment tool, the Brachial Plexus Outcome Measure (BPOM) and the evaluation of its internal consistency and construct validity. METHODS: A retrospective case series of children aged 4-19 years with obstetrical brachial plexus palsy (OBPP) was conducted. Intraclass coefficients were calculated for the BPOM Activity Scale items. Correlation between the Active Movement Scale (AMS) and BPOM Activity Scale scores were conducted to determine the convergent validity...
October 2012: Journal of Hand Therapy: Official Journal of the American Society of Hand Therapists
https://www.readbyqxmd.com/read/21987271/functional-contribution-of-t1-to-the-brachial-plexus-in-infants
#6
A Fattah, C G Curtis, A M R Agur, H M Clarke
To determine the contribution of the T1 root to movements of the upper limb in infancy, 40 infants presenting with obstetrical brachial plexus palsy who underwent resection and reconstruction of all brachial plexus roots with the exception of the T1 root were assessed in the early postoperative period. The movements of the limb were recorded using the Hospital for Sick Children active movement scale and demonstrated considerable variability. All movements of the upper limb were observed in this group with the exception of external rotation of the shoulder and elbow flexion...
March 2012: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/21768251/radial-nerve-palsy-in-the-newborn-a-case-series
#7
REVIEW
Fatema S Alsubhi, Abdullah M Althunyan, Christine G Curtis, Howard M Clarke
BACKGROUND: Peripheral nerve palsies of the upper extremities presenting at birth can be distressing for families and care providers. It is therefore important to be able to identify patients whose diagnosis is compatible with full recovery so that their families can be reassured. METHODS: We conducted a retrospective review of all infants presenting with weakness of the upper extremity to our clinic between July 1995 and September 2009. We also conducted a review of the current literature...
September 6, 2011: CMAJ: Canadian Medical Association Journal, Journal de L'Association Medicale Canadienne
https://www.readbyqxmd.com/read/21617471/suprascapular-nerve-reconstruction-in-obstetrical-brachial-plexus-palsy-spinal-accessory-nerve-transfer-versus-c5-root-grafting
#8
COMPARATIVE STUDY
Raymond Tse, Jeffrey R Marcus, Christine G Curtis, Annie Dupuis, Howard M Clarke
BACKGROUND: The purpose of this study was to determine whether there is any difference in external rotation following reconstruction of the suprascapular nerve using nerve grafts from the proximal C5 root or nerve transfer using the spinal accessory nerve. METHODS: External rotation was assessed using the Active Movement Scale immediately before surgery and 3 years postoperatively. Patients with less than 3 years of follow-up were excluded. For patients who underwent secondary shoulder surgery before the 3-year follow-up, the Active Movement Scale score before shoulder surgery was used as the outcome...
June 2011: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/19319058/final-results-of-grafting-versus-neurolysis-in-obstetrical-brachial-plexus-palsy
#9
COMPARATIVE STUDY
Jenny C Lin, Ann Schwentker-Colizza, Christine G Curtis, Howard M Clarke
BACKGROUND: The authors previously showed that neurolysis in obstetrical brachial plexus palsy resulted in improved function in some patients at 1 year's follow-up. In this study, the hypothesis that the long-term outcome of neuroma-in-continuity resection and nerve grafting yields better results than neurolysis was tested. METHODS: Obstetrical brachial plexus palsy patients treated with primary nerve surgery with a minimum follow-up of 4 years were studied. Patients were classified as undergoing neurolysis (n = 16) or resection and grafting (n = 92) and separated into Erb's or total palsy groups...
March 2009: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/18040192/evaluation-of-elbow-flexion-as-a-predictor-of-outcome-in-obstetrical-brachial-plexus-palsy
#10
David M Fisher, Gregory H Borschel, Christine G Curtis, Howard M Clarke
BACKGROUND: The purpose of this study was to answer two questions. First, are there obstetrical brachial plexus palsy patients with no elbow flexion at 3 months who go on to recover useful upper extremity function without surgical intervention? Second, are there patients with evidence of elbow flexion at 3 months who do benefit from brachial plexus reconstruction? METHODS: The authors retrospectively reviewed a sample drawn from 253 consecutive patients at The Hospital for Sick Children obstetrical brachial plexus database from 1993 to 1996...
November 2007: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/16473678/pediatric-evaluation-of-disability-inventory-its-application-to-children-with-obstetric-brachial-plexus-palsy
#11
COMPARATIVE STUDY
Emily S Ho, Christine G Curtis, Howard M Clarke
PURPOSE: A standardized method of measurement of self-care ability in children with obstetric brachial plexus palsy (OBPP) has not been universally adopted. A study was conducted to determine if the Pediatric Evaluation of Disability Inventory (PEDI) was able to discriminate between the self-care ability of children with OBPP and their peers and distinguish between those with differing severities of OBPP. METHODS: The PEDI self-care domain results for 45 children with OBPP (30 without hand impairment, 15 with hand impairment) were reviewed retrospectively...
February 2006: Journal of Hand Surgery
https://www.readbyqxmd.com/read/12874721/the-role-of-the-brachioradialis-h-reflex-in-the-management-and-prognosis-of-obstetrical-brachial-plexus-palsy
#12
J T S Kao, S Sharma, C G Curtis, H M Clarke
The H reflex was investigated to determine if it can be useful in the prognosis of obstetrical brachial plexus palsies. The H reflex is an electrically stimulated monosynaptic or oligosynaptic response which can be recorded in peripheral nerves in all muscles of infants up to approximately two years of age. It is essentially the electrophysiologic counterpart of the deep tendon reflex, and its presence indicates intact afferent and efferent axons at the particular spinal segment. Our objectives were to document the Brachioradialis H (Br H) reflex latency and amplitude in normal upper extremities of infants, to evaluate the presence or absence of the Br H reflex in obstetrical palsy neonates and infants between one and seven months of age and to determine if this test was a valid predictor of final clinical outcome...
March 2003: Handchirurgie, Mikrochirurgie, Plastische Chirurgie
https://www.readbyqxmd.com/read/12015722/the-active-movement-scale-an-evaluative-tool-for-infants-with-obstetrical-brachial-plexus-palsy
#13
COMPARATIVE STUDY
Christine Curtis, Derek Stephens, Howard M Clarke, David Andrews
Newborns with peripheral nerve lesions involving the upper extremity are difficult to evaluate. The reliability of the Active Movement Scale (AMS), a tool for assessing motor function in infants with obstetrical brachial plexus palsy (OBPP), was examined in 2 complementary studies. Part A was an interrater reliability study in which 63 infants younger than 1 year with OBPP were independently evaluated by 2 physical therapists using the AMS. The scores were compared for reliability and controlled for chance agreement by using kappa statistics...
May 2002: Journal of Hand Surgery
https://www.readbyqxmd.com/read/11062575/the-prognostic-value-of-concurrent-horner-s-syndrome-in-total-obstetric-brachial-plexus-injury
#14
M M Al-Qattan, H M Clarke, C G Curtis
The prognostic value of concurrent Horner's syndrome in infants with total birth palsy was investigated. The records of 48 cases with total palsy were reviewed. Poor spontaneous return of the motor function of the limb was found for both with and without concurrent Horner's syndrome. Fisher's exact test (P=0.02) indicated that the presence of concurrent Horner's syndrome is a significant prognostic factor for poor spontaneous recovery of the limb.
April 2000: Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand
https://www.readbyqxmd.com/read/9774011/neuroma-in-continuity-resection-early-outcome-in-obstetrical-brachial-plexus-palsy
#15
L Capek, H M Clarke, C G Curtis
The short-term effect of neuroma-in-continuity resection in obstetrical brachial plexus palsy was evaluated to test the hypothesis that the neuroma does not contribute to useful limb function. Twenty-six patients with obstetrical brachial plexus palsy underwent resection of the neuroma-in-continuity and interpositional nerve grafting, and 17 patients underwent neurolysis only. The preoperative and postoperative active movement scores were recorded using an eight-point scale for 15 joint motions in each patient...
October 1998: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/9607664/the-prognostic-value-of-concurrent-phrenic-nerve-palsy-in-newborn-children-with-erb-s-palsy
#16
M M Al-Qattan, H M Clarke, C G Curtis
The prognostic value of concurrent phrenic nerve palsy in newborn babies with Erb's palsy was investigated. The records of 191 babies with Erb's palsy were reviewed retrospectively at two institutions. Poor spontaneous return of the motor function of the limb was found for infants both with and without concurrent phrenic nerve palsy. Concurrent phrenic nerve palsy in newborn babies with Erb's palsy has no prognostic value in predicting spontaneous motor recovery of the limb.
April 1998: Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand
https://www.readbyqxmd.com/read/9043592/case-report-unilateral-combined-facial-nerve-and-brachial-plexus-palsies-in-a-neonate-following-a-midlevel-forceps-delivery
#17
REVIEW
T M de Chalain, H M Clarke, C G Curtis
A case is described in which the 2.7-kg fetus of a nonobese primigravid patient, delivered by midlevel forceps manipulation sustained neurapraxias of both the marginal mandibular branch of the seventh cranial nerve and the upper trunks of the ipsilateral brachial plexus. The pregnancy was uneventful, but labor was complicated by an occipitoposterior presentation and a prolonged second stage. Examination of the neonate revealed bruising and skin markings consistent with injury by obstetric forceps and the anatomic location of these marks suggested that cervical and mandibular compression from the forceps, rather than traction by the accoucheur, would account for the observed findings...
February 1997: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/8619001/obstetrical-brachial-plexus-palsy-results-following-neurolysis-of-conducting-neuromas-in-continuity
#18
H M Clarke, M M Al-Qattan, C G Curtis, R M Zuker
Sixteen infants with conducting neuromas-in-continuity at primary brachial plexus exploration underwent microsurgical neurolysis of their lesions. For each patient, the immediate preoperative scores for individual joint movements were compared with scores at the last examination. In the Erb's palsy group (n = 9), significant improvement was seen in shoulder movements, elbow flexion, supination, and wrist extension (paired t test, p < 0.05). Clinically useful improvements in function was seen at the shoulder and elbow (Fisher's exact test, p < 0...
April 1996: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/8567739/an-approach-to-obstetrical-brachial-plexus-injuries
#19
REVIEW
H M Clarke, C G Curtis
The approach of one clinic to the early evaluation of the infant with an obstetrical brachial plexus palsy has been presented. The need for a reproducible and standardized grading system has been identified. The natural history of these lesions will be better understood as further studies elucidate key principles. The final goals are the precise prognostication of natural outcome and the early prediction of the need for surgical intervention.
November 1995: Hand Clinics
https://www.readbyqxmd.com/read/8134425/the-natural-history-of-obstetrical-brachial-plexus-palsy
#20
B J Michelow, H M Clarke, C G Curtis, R M Zuker, Y Seifu, D F Andrews
Obstetrical brachial plexus palsy remains an unfortunate consequence of difficult childbirth. Sixty-six such patients were reviewed. Included were 28 patients (42 percent) with upper plexus involvement and 38 (58 percent) with total plexopathy. The natural history of spontaneous recovery in all of these patients has been determined using an appropriate grading mechanism. Sixty-one patients (92 percent) recovered spontaneously and five patients (8 percent) required primary brachial plexus exploration and reconstruction (median age 12 months), demonstrating that most patients do well...
April 1994: Plastic and Reconstructive Surgery
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