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

2021, Number 1

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Ortho-tips 2021; 17 (1)

Obstetrical brachial plexus injury; an alternative of surgery management. Case report and literature review

López AL, Pérez LFY, Salcido RMV

Language: Spanish
References: 19
Page: 50-54
PDF size: 202.34 Kb.


ABSTRACT

Actually, the surgical management of brachial plexus injuries is a great challenge. Despite the preventive measures applied by health systems, brachial plexus injuries continue to occur with and incidence of 0.38 to 5.1 per 1,000 live births worldwide and in Mexico from 0.37 to 0.87 × 1,000, 20% of these patients will have a residual neurological deficit, which will directly impact the function of the upper limb. The challenge of a surgical treatment is to bring the patient to the greatest possible functionality, without deteriorating the residual function that may exist. The surgical decision is determined by the surgeon considering the clinical manifestations, absence of neurological recovery over time, and surgical findings. Unfortunately, on many occasions the diagnosis and referral of the patient is usually late. Neuroma resection and nerve graft reconstruction have better results, another surgical alternative is to perform nerve transfers in the presence of avulsions. The best prognosis takes place with timely management, a careful clinical examination, and individualization of the patient's needs, these complex decisions involve a multidisciplinary team, as well as dissemination and education, to prevent injury, make the timely diagnosis and surgery needed at the right time.


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