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Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2020, Number 4

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Ortho-tips 2020; 16 (4)

Total brachial plexus birth injury

Zancolli P, Solano PRJ, Barraza ARH, Clifton CJF, López AL, Espinosa MKAF, Rodríguez MRE

Language: Spanish
References: 32
Page: 173-181
PDF size: 160.35 Kb.


ABSTRACT

Total neonatal brachial plexus injuries results in chronic impairment of the affected limb. It's important in this type of injuries to determine if the roots lesion is preganglionic or postganglionic. Horner's syndrome is suggestive of root avulsion. Total plexopathy, Horner's syndrome and root avulsion are poor prognostic factors related to motor recovery. Microsurgical reconstruction of the plexus permits the diagnosis of the lesion and aims to restore reinnervation of primary functions. Nerve reconstruction through nerve grafts and nerve transfers will depend on the type of root and plexus lesion. There is a general consensus that microsurgical reconstruction should be performed by three months of age in the case there is a total injury to the plexus or the presence of Horner's syndrome. In this paper, we review the clinical findings and reconstructive priorities for total neonatal brachial plexus injuries.


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