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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)

Conservative treatment of birth-related brachial plexus injuries

Rodríguez MRE, Salcido RMV, Chica CMA, Clifton CJF, López AL, Barraza-Arrambide RH, Espinosa MAF, Pablo ZE, Solano PRJ

Language: Spanish
References: 25
Page: 190-200
PDF size: 178.28 Kb.


ABSTRACT

Obstetric brachial plexus injuries are a relatively common stretch injury of the brachial plexus that occurs during delivery. Roughly 30% of patients will not recover completely and will need a surgical repair. Two main treatment strategies have been used: primary surgery, consisting in exploring and reconstructing the affected portions of the brachial plexus within the first few months of the patient's life, and secondary procedures that include tendon or muscle transfers, osteotomies, and other orthopedic techniques. Secondary procedures can be done as the only surgical treatment of Obstetric brachial plexus injuries or after primary surgery, in order to minimize any residual deficits. Two things are crucial to achieving a good outcome: the appropriate selection of patients, to separate those who will spontaneously recover from those who will recover only partially or not at all; and a good surgical technique.


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