Forearm Deformities in Birth Brachial Plexus Palsy - Patient Profile and Management Algorithm

Area of Science:

• Pediatric Orthopedics
• Pediatric Plastic Surgery
• Pediatric Rehabilitation

Background:

• Forearm deformities, including supination and pronation, are common in severe birth brachial plexus palsy (BBPP).
• These deformities significantly impair hand function and are a frequent concern for parents seeking surgical correction.
• Existing literature offers limited information on managing forearm deformities in BBPP compared to nerve or shoulder issues.

Purpose of the Study:

• To provide a comprehensive overview of forearm deformities in BBPP.
• To discuss incidence, pathogenesis, clinical presentation, and parental concerns.
• To outline decision-making, management strategies, and expected outcomes for corrective surgery.

Main Methods:

• Review of existing literature on forearm deformities in BBPP.
• Synopsis of clinical presentation, pathogenesis, and incidence.
• Discussion of individualized treatment approaches and outcome expectations.

Main Results:

• Forearm deformities in BBPP present unique challenges due to limited treatment options.
• Management requires careful patient selection and individualized plans based on disability, parental expectations, and motor function.
• Correction of both supination and pronation deformities necessitates distinct considerations.

Conclusions:

• Effective surgical correction of forearm deformities in BBPP is achievable with individualized treatment plans.
• Management strategies should be tailored to each patient's specific needs and expectations.
• Successful correction leads to substantial improvements in limb function and aesthetic appearance, greatly satisfying patients and parents.