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Journal of Hand Surgery (British and European Volume)
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Obstetric Brachial Plexus Lesions: A Study of 74 Children Registered with the British Paediatric Surveillance Unit (March 1998–March 1999)

G. L. BISINELLA
R. BIRCH

From the Peripheral Nerve Injury and Congenital Hand Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, UK

Correspondence: Prof. Rolfe Birch, Orthopaedic Surgeon, Peripheral Nerve Injury and Congenital Hand Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK. Tel.: +44 208 909 5803; Fax: +44 208 420 6582; E-mail: mtaggart{at}rnoh-tr.nthames.nhs.uk

Seventy-four children with obstetric brachial plexus palsy registered with the British Paediatric Surveillance Unit were prospectively followed for a minimum of 2 years. Thirty-nine (52.7%) spontaneously recovered to normal or nearly normal levels and a further 29 (39.3%) regained good function in the upper limb. The most important secondary deformity involved the gleno-humeral joint and 20 patients (27%) needed surgical correction. Two more children await operation for shoulder deformity. The brachial plexus was explored in nine patients (12.2%) and repaired in seven.

Journal of Hand Surgery (British and European Volume), Vol. 28, No. 1, 40-45 (2003)
DOI: 10.1054/JHSB.2002.0841
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