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Updated: Jun 15, 2025
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Methods for In Vivo Biomechanical Testing on Brachial Plexus in Neonatal Piglets
Published on: December 19, 2019
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Current Concepts in Brachial Plexus Birth Injuries: A Comprehensive Narrative Review
Nathan Khabyeh-Hasbani1, Devon M O'Brien2, Erin M Meisel2
1From the Department of Orthopaedic Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, N.Y.
Plastic and Reconstructive Surgery. Global Open
|August 23, 2024
Summary
Brachial plexus birth injury (BPBI) can cause lasting upper extremity paralysis in infants. Early diagnosis and specialized care are crucial for improving functional outcomes in affected children.
Area of Science:
- Pediatric neurology
- Obstetrics
- Physical medicine and rehabilitation
Background:
- Brachial plexus birth injury (BPBI) involves upper extremity paralysis after childbirth.
- Injury etiology is multifactorial, including maternal, obstetric, and neonatal factors.
- Many infants experience residual deficits and functional limitations despite potential for spontaneous recovery.
Purpose of the Study:
- To provide a comprehensive narrative review of brachial plexus birth injury.
- To outline current approaches for assessing, managing, and advancing BPBI care.
- To inform healthcare providers and families on optimal management strategies.
Main Methods:
- Comprehensive literature search on BPBI progression, patho-anatomy, clinical presentation, management, and treatment.
- Narrative review synthesizing current evidence and approaches.
- Analysis of factors contributing to BPBI and its sequelae.
Main Results:
- Prompt referral to specialized multicenter brachial plexus clinics is advocated.
- Accurate diagnosis, timely intervention, and individualized patient-centered assessment are crucial.
- Further research is needed to understand injury mechanisms, refine diagnostics, and optimize long-term outcomes.
Conclusions:
- Collaboration between healthcare providers and families is essential for comprehensive BPBI care.
- Tailored approaches and intraoperative decision-making algorithms can optimize functional outcomes.
- This review provides insights into current understanding and management of BPBI.
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