To report a method and remote therapeutic effect of early nerve transposition in treatment of obstetrical brachial plexus palsy. Methods: From May 1995 to August 1996, 12 patients who had no recovery of biceps 3 month...To report a method and remote therapeutic effect of early nerve transposition in treatment of obstetrical brachial plexus palsy. Methods: From May 1995 to August 1996, 12 patients who had no recovery of biceps 3 months after birth were treated with nerve transposition. Eight had neuroma at the upper trunk and 4 had rupture or avulsion of the upper trunk. Mallet test was used to evaluate the results. Results: The follow up of 40 52 months showed that excellent and good recovery in functions was found in 75% of the patients and the excellent rate of phrenic nerve and accessory nerve transposition was 83.3 % and 66.7 % respectively. A complete recovery in shoulder and elbow joint function was in 3 patients and Mallet Ⅳ was in 6 patients. Conclusions: Satisfactory outcome can be obtained by using early nerve transposition in treating obstetrical brachial plexus.展开更多
文摘To report a method and remote therapeutic effect of early nerve transposition in treatment of obstetrical brachial plexus palsy. Methods: From May 1995 to August 1996, 12 patients who had no recovery of biceps 3 months after birth were treated with nerve transposition. Eight had neuroma at the upper trunk and 4 had rupture or avulsion of the upper trunk. Mallet test was used to evaluate the results. Results: The follow up of 40 52 months showed that excellent and good recovery in functions was found in 75% of the patients and the excellent rate of phrenic nerve and accessory nerve transposition was 83.3 % and 66.7 % respectively. A complete recovery in shoulder and elbow joint function was in 3 patients and Mallet Ⅳ was in 6 patients. Conclusions: Satisfactory outcome can be obtained by using early nerve transposition in treating obstetrical brachial plexus.
