Early combined neurosurgery and orthopaedic surgery in Neonatal Brachial Plexus Palsy

Ram Palti; Maxim D Horwitz; Nicholas C Smith; Michael A Tonkin

doi:10.1142/S0218810411005254

Early combined neurosurgery and orthopaedic surgery in Neonatal Brachial Plexus Palsy

Hand Surg. 2011;16(2):155-9. doi: 10.1142/S0218810411005254.

Authors

Ram Palti¹, Maxim D Horwitz, Nicholas C Smith, Michael A Tonkin

Affiliation

¹ Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, St. Leonards, NSW, Australia.

PMID: 21548150
DOI: 10.1142/S0218810411005254

Abstract

Three cases are presented in which neurosurgical reconstruction of a Neonatal Brachial Plexus Palsy was combined with orthopaedic reconstruction of a posterior glenohumeral dislocation. The authors believe that a combined procedure is indicated if the neurological deficit meets the criteria for neural reconstruction and the complication of a posterior glenohumeral dislocation has occurred prior to nerve surgery. Two children with C5-6 lesions and a third child with a pan-plexus lesion obtained good shoulder function following the combined reconstruction.

Publication types

Case Reports

MeSH terms

Brachial Plexus / injuries
Brachial Plexus / surgery*
Brachial Plexus Neuropathies / etiology
Brachial Plexus Neuropathies / physiopathology
Brachial Plexus Neuropathies / surgery*
Follow-Up Studies
Humans
Infant, Newborn
Male
Neurosurgical Procedures / methods*
Orthopedic Procedures / methods*
Paralysis / etiology
Paralysis / physiopathology
Paralysis / surgery*
Range of Motion, Articular
Recovery of Function
Shoulder Dislocation / complications*
Shoulder Dislocation / congenital
Shoulder Joint / innervation
Shoulder Joint / physiopathology
Shoulder Joint / surgery