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Brachial plexus birth injury in children and adolescents: A current concepts review
Taylor Shackleford1, Kevin J Little1,2
1Division of Pediatric Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Insights
Brachial plexus birth injuries (BPBI) impact patients significantly. This review details current concepts for treating BPBI, focusing on examination, surgical indications, and long-term outcomes for pediatric orthopedic providers.
Area of Science:
- Pediatric Orthopedics
- Neonatal Care
- Neurology
Background:
- Brachial plexus birth injuries (BPBI) are rare but impactful.
- Specialty centers manage complex BPBI cases.
- Understanding BPBI is crucial for pediatric orthopedic providers.
Purpose of the Study:
- To review current concepts in BPBI treatment.
- To focus on clinical examination and operative indications.
- To discuss early surgical interventions and long-term sequelae.
Main Methods:
- Literature review of BPBI treatment.
- Synthesis of current clinical and surgical concepts.
- Focus on pediatric orthopedic management.
Main Results:
- Detailed examination techniques for BPBI.
- Criteria for operative intervention in BPBI.
- Insights into early surgical timing and outcomes.
- Analysis of long-term musculoskeletal complications.
Conclusions:
- Comprehensive understanding of BPBI natural history is vital.
- Timely surgical intervention improves outcomes.
- Long-term musculoskeletal sequelae require ongoing management.
Abstract:
Brachial plexus birth injuries (BPBI), although rare, have a significant impact on patients and the healthcare system. While these conditions tend to be treated at specialty centers around the world that are well equipped to handle the complex needs of these patients, an understanding of the natural history, prognosis, and treatment options for this population is important for all pediatric orthopedic providers. This review aims to detail current concepts of the treatment of BPBI with a focus on clinical examination, operative indications, early surgical interventions, and long-term musculoskeletal sequelae.
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