Current Approach to Obstetric Brachial Plexus Palsy
Tuba Tülay Koca.
Abstract
Obstetrical brachial plexus palsy (BPP) is defined a flaccid paresis caused by damage of brachial plexus before or during delivery. Beyond 80-90% of patients may develop spontaneous remission; in 5-25% may develop lifelong disability. Recovery in 2 weeks period is an indicator of good prognosis. Although magnetic resonance imagination is often used for screening method, ultrasonography is detected as a rapid, visible, reliable method in recent years. Electrodiagnostic studies provide us for disease origin, severity, prognosis and anatomic localization. In diagnosis and clinical evaluation there have been lack of specific scales and methods for BPP patients. Treatment program consume of conservative (physical therapy, occupational therapy and botulismus toxin A) therapy and surgery. In surgery: neurolysis, nerve graft reconstructions and osteotomies could be done. Still, the timing and indication of surgery is controversial. Recently there is a tendency for doing surgery in 3-6 months period in absent of remission signs. On the other hand with delayed surgery there have seen better results in some new studies so a common opinion arised for delaying surgery not to skip patients developing spontaneous remission.
scite shows how a scientific paper has been cited by providing the context of the citation, a classification describing whether it supports, mentions, or contrasts the cited claim, and a label indicating in which section the citation was made.
The articles in Bibliomed are open access articles licensed under Creative Commons Attribution 4.0 International License (CC BY), which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
We use cookies and other tracking technologies to work properly, to analyze our website traffic, and to understand where our visitors are coming from. More InfoGot It!
