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Development of a Neonatal Rat Model for Brachial Plexus Birth Injury
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Part 2. Distinguishing physical characteristics and management of brachial plexus injuries

Kathleen Benjamin1

  • 1Department of Neonatology, The Children's Hospital, Denver, CO 80218, USA. Benjamin.Kathy@tchden.org

Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses
|October 6, 2005
PubMed

Brachial plexus injuries (BPI) are usually readily apparent at or shortly after birth. Failure of caregivers to recognize and appropriately treat BPI may contribute to the risk of life-long neuromuscular dysfunction for the infant and represents a serious medical-legal liability for the delivery provider. This article is the second in a series on BPI and provides a standard classification and a systematic guide to physical examination of the infant with suspected BPI. Conditions that mimic BPI are discussed along with diagnostic studies used to confirm this disorder. The natural history and predictors of outcome are presented along with a sample treatment protocol. Pictures and video clips are provided to enhance the reader's understanding of the consequences of this injury and the potential for improvement with surgical treatment. Useful Internet resources for parents, focused discharge planning, and guidelines for appropriate monitoring and follow-up are provided. Advantages of early referral and management by a multidisciplinary team at a brachial plexus specialty center are discussed.

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