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Chin J Traumatol. 2001 Feb;4(1):40-3.

Remote therapeutic effect of early nerve transposition in treatment of obstetrical brachial plexus palsy.

Author information

1
Department of Orthopaedics and Hand Surgery, Fujian Provincial Hospital, Fuzhou 350001, China.

Abstract

OBJECTIVE:

To report a method and remote therapeutic effect of early nerve transposition in treatment of obstetrical brachial plexus palsy.

METHODS:

From May 1995 to August 1996, 12 patients who had no recovery of biceps 3 months after birth were treated with nerve transposition. Eight had neuroma at the upper trunk and 4 had rupture or avulsion of the upper trunk. Mallet test was used to evaluate the results.

RESULTS:

The follow-up of 40-52 months showed that excellent and good recovery in functions was found in 75% of the patients and the excellent rate of phrenic nerve and accessory nerve transposition was 83.3% and 6 6.7% respectively. A complete recovery in shoulder and elbow joint function was in 3 patients and Mallet IV was in 6 patients.

CONCLUSIONS:

Satisfactory outcome can be obtained by using early nerve transposition in treating obstetrical brachial plexus.

PMID:
11835708
[Indexed for MEDLINE]

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