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09:42
Development of a Neonatal Rat Model for Brachial Plexus Birth Injury
Published on: March 27, 2026
Torticollis associated with neonatal brachial plexus palsy
Shawn L Hervey-Jumper1, Denise Justice, Monique M Vanaman
1Department of Neurosurgery, University of Michigan Medical School, Ann Arbor, Michigan 48109-5338, USA.
Pediatric Neurology
|October 18, 2011
Summary
Torticollis frequently occurs with neonatal brachial plexus palsy but does not impact recovery. Conservative management for torticollis shows good outcomes in affected infants.
Area of Science:
- Pediatric Orthopedics
- Neurology
- Rehabilitation Medicine
Background:
- Neonatal brachial plexus palsy (NBPP) can impact infant motor development.
- Torticollis, a common co-occurring condition, may affect NBPP outcomes.
- Understanding this association is crucial for comprehensive infant care.
Purpose of the Study:
- To determine the incidence of torticollis in NBPP patients.
- To assess if torticollis influences NBPP severity and recovery.
- To evaluate the recovery rate of torticollis with conservative management.
Main Methods:
- Retrospective review of 128 NBPP patients (2005-2009).
- Analysis of concurrent torticollis diagnosis and its characteristics.
- Follow-up for at least 3 months with physical exams and imaging.
Main Results:
- 43% of NBPP patients presented with concurrent torticollis.
- Torticollis patients showed earlier presentation for clinical examination.
- 62% of torticollis cases resolved with conservative management by 23 weeks.
- No significant differences in NBPP severity (Narakas score) or recovery (biceps function) between groups.
- Torticollis did not affect the need for surgical intervention.
Conclusions:
- Torticollis is common in NBPP but does not alter NBPP severity or prognosis.
- Conservative management is effective for torticollis in this population.
- Early detection and management of torticollis can improve outcomes in NBPP patients.
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