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Current concepts in the management of brachial plexus birth palsy

Holly B Hale1, Donald S Bae, Peter M Waters

  • 1Department of Orthopaedic Surgery, Children's Hospital Boston, Boston, MA 02115, USA.

The Journal of Hand Surgery
|February 10, 2010
PubMed

Insights

Brachial plexus birth palsy can cause lifelong impairment. Recent evidence improves understanding of injury, guiding microsurgery and shoulder reconstruction for better infant upper extremity function.

Area of Science:

  • Pediatric Orthopedics
  • Neurology
  • Surgical Innovation

Background:

  • Brachial plexus birth palsy (BPBP) can lead to chronic upper extremity impairment.
  • Current management involves physiotherapy, microsurgery, and reconstructive procedures.
  • Unresolved controversies exist regarding natural history and surgical interventions.

Purpose of the Study:

  • To synthesize recent literature on BPBP.
  • To clarify pathoanatomy, natural history, and surgical indications.
  • To provide evidence-based recommendations for microsurgery and shoulder reconstruction.

Main Methods:

  • Literature review of recent studies on BPBP.
  • Analysis of pathoanatomy and natural history.
  • Evaluation of surgical techniques, outcomes, and complications.

Main Results:

  • Enhanced understanding of BPBP pathoanatomy and natural history.
  • Improved insights into surgical indications, expected outcomes, and complications.
  • Evidence-based recommendations for microsurgery and shoulder reconstruction.

Conclusions:

  • Recent literature advances the care of infants with BPBP.
  • Recommendations are provided for microsurgery and shoulder reconstruction (tendon transfer, arthroscopic/open reductions).
  • Improved patient care is facilitated by updated evidence.

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