Management of Brachial Plexus Birth Injury: The SickKids Experience
Thomas R Cawthorn1, Sevan Hopyan2,3, Howard M Clarke1,3
1Division of Plastic & Reconstructive Surgery, Sick Kids Hospital, Toronto, Ontario, Canada.
Seminars in Plastic Surgery
|July 28, 2023
Insights
This article details the Sick Kids Hospital
Area of Science:
- Pediatric Orthopedics
- Neonatal Care
- Neurology
Background:
- Brachial plexus birth injury (BPBI) affects newborns, requiring specialized care.
- Early and accurate diagnosis is crucial for optimal outcomes in infants with BPBI.
Purpose of the Study:
- To present the established multidisciplinary approach at Sick Kids Hospital for evaluating and treating brachial plexus birth injury (BPBI).
- To offer a practical guide for managing infants diagnosed with BPBI, drawing on extensive clinical experience.
Main Methods:
- A comprehensive, multidisciplinary team approach.
- Utilizing over 30 years of clinical experience and data from 1,800+ patients.
- Continuous refinement of treatment protocols based on evolving clinical insights.
Main Results:
- The described approach has been refined over three decades.
- Successfully managed a large cohort of over 1,800 patients with BPBI.
- The methodology emphasizes a practical and evolving treatment strategy.
Conclusions:
- The Sick Kids Hospital's multidisciplinary approach provides a robust framework for BPBI management.
- This established method offers valuable insights for clinicians treating infants with brachial plexus birth injuries.
- The ongoing evolution of the approach ensures the best possible care for affected newborns.
Abstract:
This article describes the approach utilized by the multidisciplinary team at Sick Kids Hospital to evaluate and treat patients with brachial plexus birth injury (BPBI). This approach has been informed by more than 30 years of experience treating over 1,800 patients with BPBI and continues to evolve over time. The objective of this article is to provide readers with a practical overview of the Sick Kids approach to the management of infants with BPBI.
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