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Journal of Hand Surgery (British and European Volume)
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Neurophysiological Prediction of Outcome in Obstetric Lesions of the Brachial Plexus

G. L. BISINELLA
R. BIRCH
S. J. M. SMITH

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

Correspondence: Mr Rolfe Birch, Orthopaedic Surgeon, Peripheral Nerve Injury and 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-three children with slow recovery after obstetric lesions of the brachial plexus (biceps function returning after 3 months of age) and with relatively favourable neurophysiological investigations were followed until a mean age of 4.3 years. Predictions for C6 and C7 were confirmed in 92% and 96% of the cases, respectively. Predictions for C5 were confirmed in a smaller proportion of cases (78%). The inability to record nerve action potentials for C5, and the high frequency of secondary shoulder pathology are reasons for this. In all, 33 of the 73 children came to operation for medial rotation contracture (11) or posterior subluxation/dislocation (21); there was one case operated for inferior contracture.

Journal of Hand Surgery (British and European Volume), Vol. 28, No. 2, 148-152 (2003)
DOI: 10.1016/S0266-7681(02)00281-4


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C. O. Heise, M. G. Siqueira, R. S. Martins, and J. L. D. Gherpelli
Motor Nerve-Conduction Studies in Obstetric Brachial Plexopathy for a Selection of Patients with a Poor Outcome
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