Mechanism of injury underlying obstetrical brachial plexus palsy introduction obstetrical brachial plexus palsy (obpp) is defined as a flaccid paresis of an upper extremity due to traumatic stretching of the brachial plexus occurring at birth, where the passive range of motion is greater than the active. Abstract obstetrical brachial plexus palsy (obpp) is a complication of difficult delivery and resulted from excessive traction on the brachial plexus during delivery erb palsy, klumpke paralysis and panplexus palsy reported in 46, 06 and 20% of patients, respectively unilateral injury is more common than bilateral injury. Obstetric brachial plexus palsy is a potentially devas- tating form of cervical nerve injury that occurs in 038 to 26 births per thousand in this review, we discuss funda- mental clinicopathology and delve into the indications and methods of both nonsurgical and surgical strategies an analysis of the major techniques of. Obstetrical brachial plexus palsy (obpp) can be divided into two distinct categories: (1) initial obpp (infant or early obpp), in which some require early nerve with the underlying neuroma tissue and fibrotic change, should be resected, sometime nearly totally, to expose the underlying injured neuroma, subclavian artery,.
1 am indebted to the many families of children with obstetrical brachial plexus injuries as wrll as the obstetricai brachial plexus palsy in plastic and reconstructive sugery 1998 102: 1555- 1562 (permission pending) 885 and 887 in, obstetrical brachial plexus palsy (obpp) outcome with consemative management. Obstetric brachial plexus palsy (obpp), is an injury of the brachial plexus at childbirth affecting direct compression of the symphysis pubis against the fetal shoulder and underlying brachial plexus may also cause injury () brachial plexus injury may occur regardless of the number and type of maneuvers used in cases of.
Infants with obstetrical brachial plexus palsy (obpp) face either spontaneous complete or incomplete recovery or permanent disability in the use of their this could have caused injury by indirect compression of the underlying brachial plexus of the delivered baby, but there was also documented shoulder dystocia in all 12.
On “brachial plexus” and “injury,” or “palsy,” in com- bination with any of the terms “obstetric,” “perinatal,” “birth,” or “neonatal” as subject heading, title, or text the search included case series published between 1960 and may 2012 articles in which children did not receive primary surgical repair were.
The term birth-related brachial plexus palsy (brbpp) refers to injury noted in the perinatal period to all or a portion of the brachial plexus the term obstetrical brachial plexus palsy (obpp) has also been used but has negative implications accordingly, other terms, such as birth-related brachial plexus injury.