Remote therapeutic effect of early nerve transposition in treatment of obstetrical brachial plexus palsy  

Remote therapeutic effect of early nerve transposition in treatment of obstetrical brachial plexus palsy

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作  者:徐杰 成效敏 董震 顾玉东 

机构地区:[1]DepartmentofOrthopaedicsandHandSurgery,FujianProvincialHospital [2]DepartmentofHandSurgery,HuashanHospital,ShanghaiMedicalUniversity

出  处:《Chinese Journal of Traumatology》2001年第1期40-43,共4页中华创伤杂志(英文版)

摘  要: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.

关 键 词:Paralysis  obstetric Peripheral nerves Nerve transposition 

分 类 号:R622[医药卫生—整形外科]

 

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