Format

Send to

Choose Destination
J Hand Surg Am. 2015 Jun;40(6):1166-9. doi: 10.1016/j.jhsa.2015.01.039. Epub 2015 Mar 21.

The prognostic value of concurrent phrenic nerve palsy in newborn babies with neonatal brachial plexus palsy.

Author information

1
Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan. Electronic address: yoshida-kiyoshi@umin.ac.jp.
2
Department of Orthopaedic Surgery, Osaka Medical Center and Research, Osaka, Japan.

Abstract

PURPOSE:

To investigate the prognostic value of concurrent phrenic nerve palsy for predicting spontaneous motor recovery in neonatal brachial plexus palsy.

METHODS:

We reviewed the records of 366 neonates with brachial plexus palsy. The clinical and follow-up data of patients with and without phrenic nerve palsy were compared.

RESULTS:

Of 366 newborn babies with neonatal brachial plexus palsy, 21 (6%) had concurrent phrenic nerve palsy. Sixteen of these neonates had upper-type palsy and 5 had total-type palsy. Poor spontaneous motor recovery was observed in 13 neonates with concurrent phrenic nerve palsy (62%) and in 129 without concurrent phrenic nerve palsy (39%). Among neonates born via vertex delivery, poor motor recovery was observed in 7 of 9 (78%) neonates with concurrent phrenic nerve palsy and 115 of 296 (39%) without concurrent phrenic nerve palsy.

CONCLUSIONS:

Concurrent phrenic nerve palsy in neonates with brachial plexus palsy has prognostic value in predicting poor spontaneous motor recovery of the brachial plexus, particularly after vertex delivery.

TYPE OF STUDY/LEVEL OF EVIDENCE:

Therapeutic IV.

KEYWORDS:

Obstetric brachial plexus palsy; phrenic nerve palsy; prognostic value

PMID:
25804363
DOI:
10.1016/j.jhsa.2015.01.039
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center