Microsurgical reconstruction of obstetric brachial plexus palsy

Liang Chen, Yu Dong Gu, Huan Wang

Research output: Contribution to journalArticle

6 Scopus citations

Abstract

The incidence of obstetric brachial plexus palsy is not declining. Heavy birth weight of the infant and breech delivery are considered two important risk factors and Caesarean section delivery seems to be a protective factor. There are two clinical appearances, that is, paralysis of the upper roots and that of total roots, and Klumpke's palsy involving the C8 and T1 roots is rarely seen. Computed tomography myelography (CTM) is still the best way of visualizing nerve roots. Surgical intervention is needed for 20-25% of all patients and clinical information is decisive for the indication of surgery. Most often, a conducting neuroma of the upper trunk is encountered, and it is believed that neuroma resection followed by microsurgical reconstruction of the brachial plexus gives the best results.

Original languageEnglish (US)
Pages (from-to)108-112
Number of pages5
JournalMicrosurgery
Volume28
Issue number2
DOIs
StatePublished - Mar 31 2008

ASJC Scopus subject areas

  • Surgery

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