Home|Journals|Articles by Year|Audio Abstracts
 

Review Article



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.

Key words: Brachial plexus, surgery, palsy, ultrasound






Full-text options


Share this Article


Online Article Submission
• ejmanager.com




ejPort - eJManager.com
Refer & Earn
JournalList
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

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/.