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Journal of Hand Surgery (British and European Volume)
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Obstetric Brachial Plexus Palsy: A Large Animal Model for Traction Injury and its Repair

Part 1: Age of the recipient

A. C. FULLARTON
D. V. LENIHAN
L. M. MYLES
M. A. GLASBY

From the Department of Clinical Neurosciences, University of Edinburgh, Edinburgh, UK

Correspondence: Mr M. A. Glasby, Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh EH4 2XU, UK.

A Sunderland type IV traction injury to the C6 root of the sheep or lamb brachial plexus was used as a model for obstetric traction injury to the C5 root in humans. The injury was created and immediately repaired using interfascicular nerve autografts in a group of adult sheep and a group of newborn lambs. The animals were examined using electrophysiological and morphometric techniques 1 year after operation. It was found that the recovery of neuromuscular function was superior in the lambs. The implication is that nerves in newborn animals have a better potential for regeneration than that seen in older individuals. This is discussed with reference to the management of obstetric brachial plexus palsy.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 1, 52-57 (2000)
DOI: 10.1054/jhsb.1999.0337
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