出生臂麻:一个印度的观点.
Mukund R Thatte1,2, Harsh R Shah1, Amita Hiremath1
1Department of Plastic, Hand and Reconstructive Surgery, Bombay Hospital and Medical Research Centre, Mumbai, Maharashtra, India.
Seminars in plastic surgery
|July 28, 2023
概括
及时诊断和治疗出生臂麻 (BBPP) 对于尽量减少长期上肢功能障碍至关重要. 早期干预,包括物理治疗和手术,即使在严重的情况下,也可以显著改善结果.
科学领域:
- 儿科整形外科 儿科整形外科
- 神经学 神经学
- 康复医学 康复医学 康复医学
背景情况:
- 出生臂麻 (BBPP) 通常是由于艰难的分娩造成的,导致上肢持续损伤.
- 自发的恢复有所不同,突出显示了对及时诊断和干预的需要.
- 后果是常见的,需要预防性检测和管理,以防止二次变形.
研究的目的:
- 提出一种基于经验的方法来管理BBPP,考虑到印度的文化和社会背景.
- 详细说明了手术前被动关节动员和肉毒素在手术纠正中的重要性.
- 审查关于BBPP管理的现有文献.
主要方法:
- 对同行评审出版物的审查,包括临床论文,评论文章和系统评论.
- 讨论作者在管理BBPP方面的经验,并纳入文化和社会因素.
- 强调手术前的被动关节动员和肉毒素的作用.
主要成果:
- 早期和适当的干预是成功管理BBPP的关键.
- 有效的治疗策略即使在严重的BBPP病例中也可以带来良好的结果.
- 预防性检测和后果管理是必不可少的.
结论:
- 综合管理,从物理治疗到手术干预,如神经修复/移植或移植,至关重要.
- 通过早期干预来预防二次形至关重要.
- 通过及时和适当的BBPP治疗,可以获得良好的功能结果.
相关概念视频
Spinal Nerves: Plexus I
1.1K
Nerve plexuses are networks of interlacing nerves that serve as communication hubs to distribute and organize nerve action across various body regions. The nerve plexuses are organized into the cervical plexus located in the neck region, brachial plexus in the shoulder area, lumbar plexus found in the lower back, sacral plexus situated in the pelvis, and coccygeal plexus located in the coccygeal region.
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
The Cervical Plexus
The cervical plexus, formed by the anterior rami of the first four...
1.1K
Spinal Nerves: Plexus II
693
The plexuses of the lower body include the lumbar, sacral, and coccygeal plexuses, which innervate the abdomen, pelvis, legs, and coccygeal region. These plexuses control the transmission of sensory information and coordinate motor functions of the lower body.
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
The Lumbar Plexus
The lumbar plexus is situated within the lumbar region of the back and is primarily formed by the first four lumbar spinal nerves (L1 to L4). This plexus extends its branches into several nerves, including the...
693
Arteries of the Upper Limbs
668
The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
668
Assessment of blood pressure in brachial artery(one-step method)
639
This procedural guide systematically measures blood pressure using an oscillometric digital sphygmomanometer, emphasizing accuracy, patient safety, and comfort.
Prepare for the Procedure:
Prepare for the Procedure:
639
Sites for measruring blood pressure
1.9K
Blood pressure measurement is a fundamental clinical procedure, providing crucial data for assessing cardiovascular health. Among the various sites for this measurement, the brachial and popliteal arteries are predominantly utilized due to their accessibility and the reliability of their readings. This lesson delves into the anatomical significance, methodology, and considerations of measuring blood pressure at these locations.
The Brachial Artery: Primary Site for Blood Pressure Measurement
The Brachial Artery: Primary Site for Blood Pressure Measurement
1.9K


