Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Congenital brachial plexus exploration.

Vincent R Hentz1

  • 1Division of Plastic Surgery, Department of Surgery, Stanford University Hand and Upper Limb Service, Hospital and Clinics, Stanford, CA, USA. vrhentz@stanford.edu

Techniques in Hand & Upper Extremity Surgery
|March 7, 2006
PubMed
Summary

Early neural surgery and ongoing therapy improve outcomes for infants with obstetrical brachial plexus palsy (OBPP). Surgical decisions for OBPP are guided by sequential evaluation and intraoperative monitoring, benefiting most patients.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Reducing Health Care's Carbon Footprint: The Environmental Impact of Telephone Clinic Visits for Hand Surgery.

The Journal of hand surgery·2025
Same author

Surgical Strategies for Functional Upper Extremity Reconstruction After Spinal Cord Injury.

Muscle & nerve·2025
Same author

Preliminary study of the upper limb with the use of ultrasound transmission imaging.

The Journal of hand surgery·2025
Same author

Management of Brachial Plexus Birth Palsies: The Stanford Experience.

Seminars in plastic surgery·2023
Same author

Electromyographic Analysis of Grip.

Orthopedics·2019
Same author

Tendon transfers after peripheral nerve injuries: my preferred techniques.

The Journal of hand surgery, European volume·2019

Area of Science:

  • Pediatric Surgery
  • Neurology
  • Orthopedics

Background:

  • Obstetrical brachial plexus palsy (OBPP) is a significant birth injury affecting newborns.
  • Stanford University has a long-standing history in managing OBPP since 1983, with a dedicated clinic established in 1992.

Purpose of the Study:

  • To outline the management principles and surgical strategies for obstetrical brachial plexus palsy.
  • To evaluate the outcomes of surgical interventions for OBPP at Stanford.

Main Methods:

  • Early clinical evaluation and sequential assessment of infant development.
  • Intraoperative evoked potentials to guide surgical decision-making.
  • Timely neural reconstruction and secondary reconstructive procedures.

Related Experiment Videos

Main Results:

  • Over 400 children evaluated, with 62 undergoing neural reconstruction and 102 having secondary procedures since 1992.
  • Surgical interventions have been largely complication-free.
  • Neural reconstruction benefited all but two patients, with shoulder/elbow control and hand function as key goals.

Conclusions:

  • A structured approach involving early evaluation, sequential assessment, and timely surgical intervention is crucial for managing OBPP.
  • Both primary neural reconstruction and secondary procedures can significantly improve functional outcomes.
  • Continuous therapy throughout childhood is vital for managing sequelae like shoulder contractures.