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Traumatic brachial plexus palsy in children.

C Dumontier1, A Gilbert

  • 1Institut Français de la main, Paris.

Annales De Chirurgie De La Main Et Du Membre Superieur : Organe Officiel Des Societes De Chirurgie De La Main = Annals of Hand and Upper Limb Surgery
|January 1, 1990
PubMed
Summary

Surgery for traumatic brachial plexus palsy in children is recommended if nerve regeneration is absent after three months. This approach aims to restore function in pediatric patients with this severe nerve injury.

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Area of Science:

  • Pediatric Orthopedics
  • Neurology
  • Traumatology

Background:

  • Traumatic brachial plexus palsy is a debilitating condition in children.
  • Motor vehicle injuries are a primary cause of pediatric brachial plexus palsy.
  • Associated nerve lesions and root avulsions are common in these injuries.

Purpose of the Study:

  • To review surgical outcomes for traumatic brachial plexus palsy in children.
  • To determine optimal timing for surgical intervention.
  • To evaluate functional recovery after surgical repair.

Main Methods:

  • Retrospective review of 25 pediatric cases with traumatic brachial plexus palsy over 15 years.
  • Analysis of injury mechanisms, lesion levels, and associated injuries.
  • Evaluation of surgical interventions including neurotization and tendon transfers.

Main Results:

  • Motor vehicle injuries accounted for 17 cases.
  • Root avulsion was present in 63% of patients.
  • Elbow flexion was restored in most patients undergoing surgery, with 40% achieving protective hand sensation.

Conclusions:

  • Surgical repair is indicated for children with traumatic brachial plexus palsy lacking nerve regeneration signs at three months.
  • Early surgical intervention may improve functional outcomes.
  • Multidisciplinary management is crucial for optimizing results.

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