brachial plexus neuropathies

Summary

Summary: Diseases of the cervical (and first thoracic) roots, nerve trunks, cords, and peripheral nerve components of the BRACHIAL PLEXUS. Clinical manifestations include regional pain, PARESTHESIA; MUSCLE WEAKNESS, and decreased sensation (HYPESTHESIA) in the upper extremity. These disorders may be associated with trauma (including BIRTH INJURIES); THORACIC OUTLET SYNDROME; NEOPLASMS; NEURITIS; RADIOTHERAPY; and other conditions. (From Adams et al., Principles of Neurology, 6th ed, pp1351-2)

Top Publications

  1. ncbi Neurological recovery in obstetric brachial plexus injuries: an historical cohort study
    Agnes F Hoeksma
    Department of Rehabilitation Medicine, Academic Medical Centre, Amsterdam
    Dev Med Child Neurol 46:76-83. 2004
  2. ncbi Outcome following nonoperative treatment of brachial plexus birth injuries
    Patricia DiTaranto
    Department of Orthopedics, Hospital Materno Infantil, Mar del Plata, Argentina
    J Child Neurol 19:87-90. 2004
  3. ncbi [Early results of nerve surgery in obstetrical brachial plexus palsy]
    Atakan Aydin
    Department of Plastic and Reconstructive Surgery, Medicine Faculty of Istanbul University, Capa, Turkey
    Acta Orthop Traumatol Turc 38:170-7. 2004
  4. ncbi Surgical strategy for infant obstetrical brachial plexus palsy: experiences at Chang Gung Memorial Hospital
    David Chwei Chin Chuang
    Department of Plastic Surgery, Chang Gung University Hospital, Taipei, Taiwan
    Plast Reconstr Surg 116:132-42; discussion 143-4. 2005
  5. ncbi Peripheral nerve injury evaluation and management
    Christopher J Winfree
    Department of Neurological Surgery, Columbia University Medical Center, New York, NY, USA
    Curr Surg 62:469-76. 2005
  6. ncbi Shoulder problems in children with brachial plexus birth palsy: evaluation and management
    Michael L Pearl
    Kaiser Permanente, Los Angeles Medical Group, Los Angeles, CA 90027, USA
    J Am Acad Orthop Surg 17:242-54. 2009
  7. ncbi Interobserver reliability of the Mallet score
    Johannes A van der Sluijs
    Departments of aOrthopedic Surgery bRehabilitation cPlastic and Reconstructive Surgery, VU Medical Centre, Amsterdam, The Netherlands
    J Pediatr Orthop B 15:324-7. 2006
  8. ncbi Microsurgical reconstruction of obstetric brachial plexus palsy
    Liang Chen
    Hand Surgery Department, Hua Shan Hospital, Shanghai, China
    Microsurgery 28:108-12. 2008
  9. ncbi Retroversion of the humeral head in children with an obstetric brachial plexus lesion
    J A van der Sluijs
    Department of Orthopaedic Surgery, Vrije Universiteit Medical Centre, Amsterdam, The Netherlands
    J Bone Joint Surg Br 84:583-7. 2002
  10. ncbi Current concepts in the management of brachial plexus birth palsy
    Holly B Hale
    Department of Orthopaedic Surgery, Children s Hospital Boston, Boston, MA 02115, USA
    J Hand Surg Am 35:322-31. 2010

Research Grants

  1. Prevention Unintentional Mechanical Birth Injuries
    Edith Gurewitsch; Fiscal Year: 2006
  2. Age-related changes in proprioceptive acuity
    Susan Brown; Fiscal Year: 2006
  3. NEUROSCIENCE OF HIV CONFERENCE
    Joseph Berger; Fiscal Year: 2002
  4. The Electrophysiology of Motor Neuron Diseases
    Mark Bromberg; Fiscal Year: 2002
  5. JCV Virus Expression in Oropharynx and HIV
    Joseph Berger; Fiscal Year: 2004
  6. MR PREDICTORS OF RESPONSE TO HAART IN HIV DEMENTIA
    Joseph Berger; Fiscal Year: 2004
  7. HIV Neuroprotection Workshop
    Joseph Berger; Fiscal Year: 2004
  8. MULTICENTER NETWORK OF NEONATAL INTENSIVE CARE UNITS
    T O SHEA; Fiscal Year: 2005
  9. Repair of Bladder Function after Cauda Equina Injury
    Leif A Havton; Fiscal Year: 2010

Detail Information

Publications195 found, 100 shown here

  1. ncbi Neurological recovery in obstetric brachial plexus injuries: an historical cohort study
    Agnes F Hoeksma
    Department of Rehabilitation Medicine, Academic Medical Centre, Amsterdam
    Dev Med Child Neurol 46:76-83. 2004
    ..Initial symptoms directly post partum were not found to be prognostic. Functional outcome was mainly reported to be good...
  2. ncbi Outcome following nonoperative treatment of brachial plexus birth injuries
    Patricia DiTaranto
    Department of Orthopedics, Hospital Materno Infantil, Mar del Plata, Argentina
    J Child Neurol 19:87-90. 2004
    ..These data provide useful guidelines for selection of infants for surgical reconstruction to improve ultimate outcome...
  3. ncbi [Early results of nerve surgery in obstetrical brachial plexus palsy]
    Atakan Aydin
    Department of Plastic and Reconstructive Surgery, Medicine Faculty of Istanbul University, Capa, Turkey
    Acta Orthop Traumatol Turc 38:170-7. 2004
    ..To present surgical techniques and early postoperative results of patients who underwent nerve surgery for obstetrical brachial plexus palsy...
  4. ncbi Surgical strategy for infant obstetrical brachial plexus palsy: experiences at Chang Gung Memorial Hospital
    David Chwei Chin Chuang
    Department of Plastic Surgery, Chang Gung University Hospital, Taipei, Taiwan
    Plast Reconstr Surg 116:132-42; discussion 143-4. 2005
    ..Strategies for management of infant obstetrical brachial plexus palsy remain controversial, including timing of surgery and treatment modalities...
  5. ncbi Peripheral nerve injury evaluation and management
    Christopher J Winfree
    Department of Neurological Surgery, Columbia University Medical Center, New York, NY, USA
    Curr Surg 62:469-76. 2005
  6. ncbi Shoulder problems in children with brachial plexus birth palsy: evaluation and management
    Michael L Pearl
    Kaiser Permanente, Los Angeles Medical Group, Los Angeles, CA 90027, USA
    J Am Acad Orthop Surg 17:242-54. 2009
    ..Arthroscopic-directed release of the contracture, with select use of latissimus dorsi transfer to provide external rotation power, has proved to be effective for many children with these contractures...
  7. ncbi Interobserver reliability of the Mallet score
    Johannes A van der Sluijs
    Departments of aOrthopedic Surgery bRehabilitation cPlastic and Reconstructive Surgery, VU Medical Centre, Amsterdam, The Netherlands
    J Pediatr Orthop B 15:324-7. 2006
    ..In decreasing order, mean weighted kappa was 0.75 for abduction, 0.73 for hand to neck, 0.67 for hand to spine, 0.6 for external rotation and 0.53 for hand to mouth...
  8. ncbi Microsurgical reconstruction of obstetric brachial plexus palsy
    Liang Chen
    Hand Surgery Department, Hua Shan Hospital, Shanghai, China
    Microsurgery 28:108-12. 2008
    ..Most often, a conducting neuroma of the upper trunk is encountered, and it is believed that neuroma resection followed by microsurgical reconstruction of the brachial plexus gives the best results...
  9. ncbi Retroversion of the humeral head in children with an obstetric brachial plexus lesion
    J A van der Sluijs
    Department of Orthopaedic Surgery, Vrije Universiteit Medical Centre, Amsterdam, The Netherlands
    J Bone Joint Surg Br 84:583-7. 2002
    ..009), giving a mean difference of 10.3 degrees (95% confidence interval 3.3 to 17.3). This finding is of importance when considering the operative treatment for subluxation of the shoulder in children with an OBPL...
  10. ncbi Current concepts in the management of brachial plexus birth palsy
    Holly B Hale
    Department of Orthopaedic Surgery, Children s Hospital Boston, Boston, MA 02115, USA
    J Hand Surg Am 35:322-31. 2010
    ..Based on the present evidence, recommendations for both microsurgery and shoulder reconstruction with tendon transfer and arthroscopic and open reductions are presented...
  11. ncbi Soft tissue rebalancing procedures with and without internal rotation osteotomy for shoulder deformity in children with persistent obstetric brachial plexus palsy
    Marcin Sibinski
    Clinic of Orthopedic and Pediatric Orthopedics, Medical University of Lodz, Drewnowska 75, 91 002, Lodz, Poland
    Arch Orthop Trauma Surg 130:1499-504. 2010
    ..We also evaluated the relationships between neurological status, age and selected clinical parameters...
  12. ncbi Bilateral brachial plexus palsy after a right-side modified radical mastectomy with immediate TRAM flap reconstruction
    Zvi Grunwald
    Department of Anesthesiology and Surgery, Jefferson Medical College, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania 19107, USA
    Breast J 9:41-3. 2003
    ..The patient recovered spontaneously. The failure of appropriate intra-operative positioning to prevent the injury is discussed...
  13. ncbi Electrodiagnostic approach to the patient with suspected brachial plexopathy
    Mark A Ferrante
    EMG Laboratories, NeuroDiagnostics, Inc, 240 Eisenhower Drive, Suite C 5, Biloxi, MS 39531, USA
    Neurol Clin 20:423-50. 2002
    ..The motor NCS and NEE often overcome this drawback and, regardless of sensory NCS findings, are always performed...
  14. ncbi The epidemiology of neonatal brachial plexus palsy in the United States
    Susan L Foad
    Division of Pediatric Orthopaedic Surgery, Cincinnati Children s Hospital Medical Center, 3333 Burnet Avenue, MLC 2017, Cincinnati, OH 45229, USA
    J Bone Joint Surg Am 90:1258-64. 2008
    ..The purpose of this study was to determine the incidence of this condition in the United States and to identify potential risk factors for neonatal brachial plexus palsy...
  15. ncbi The role of botulinum toxin in the neuro-rehabilitation of young patients with brachial plexus birth palsy
    M T Desiato
    Neurologic Clinic, Tor Vergata University, S. Eugenio Hospital, Rome, Italy
    Pediatr Rehabil 4:29-36. 2001
    ..8 +/- 10.5%). The video-taped recordings showed an improvement in the global movements. CONCLUSIONS: The employment of BNT in the management of young patients with BPP has beneficial effects in the integration of the bodily scheme...
  16. ncbi Botulinum toxin as an adjunct to motor learning therapy and surgery for obstetrical brachial plexus injury
    Carol DeMatteo
    School of Rehabilitation Science, McMaster University, Canada
    Dev Med Child Neurol 48:245-52. 2006
    ..014), and 4 months (p=0.022) post BTX-A injection. It is proposed that BTX-A facilitated motor learning through improved voluntary relaxation of antagonist muscles while allowing increased activity in reinnervated muscles...
  17. ncbi Surgical correction of the medial rotation contracture in obstetric brachial plexus palsy
    R K Nath
    Texas Nerve and Paralysis Institute, 2201 W Holcombe Boulevard, Houston, Texas 77030, USA
    J Bone Joint Surg Br 89:1638-44. 2007
    ..There was a mean improvement of 4.9 points (1.7 to 8.3) of the Mallet shoulder function score after surgical correction of the bony deformity...
  18. ncbi Neurophysiological prediction of outcome in obstetric lesions of the brachial plexus
    G L Bisinella
    Peripheral Nerve Injury and Congenital Hand Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, UK
    J Hand Surg Br 28:148-52. 2003
    ..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...
  19. pmc Congenital brachial palsy: incidence, causes, and outcome in the United Kingdom and Republic of Ireland
    G Evans-Jones
    Women and Children s Directorate, Countess of Chester Hospital NHS Trust, Liverpool Road, Chester CH2 1UL, UK
    Arch Dis Child Fetal Neonatal Ed 88:F185-9. 2003
    ..To determine the incidence and study the causes and outcome of congenital brachial palsy (CBP)...
  20. ncbi Obstetric brachial plexus palsy associated with breech delivery
    M M Al-Qattan
    Department of Surgery, King Khalid University Hospital, King Saud University, PO Box 18097, Riyadh 11415, Saudi Arabia
    Ann Plast Surg 51:257-64; discussion 265. 2003
    ..Their approach for management is described, including the role of Oberlin's ulnar nerve to biceps nerve transfer in these cases. Finally, the lack of contractures at the shoulder and elbow in these patients are explained...
  21. ncbi Classification of secondary shoulder deformities in obstetric brachial plexus palsy
    M M Al-Qattan
    Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia
    J Hand Surg Br 28:483-6. 2003
    ..Shoulder deformities are the most frequent sequelae of birth palsy. In this paper, previous classification systems for secondary shoulder deformities are reviewed and a new classification is offered...
  22. ncbi [Repair of the brachial plexus in the obstetrical lesions of the newborn]
    A Gilbert
    Institut de la Main, 6, square Jouvenet, 75016 Paris, France
    Arch Pediatr 15:330-3. 2008
    ..These results are presented with a follow-up of more than 20 years in some patients. They confirm the positive effect of early repair of the plexus...
  23. ncbi The early effects of tendon transfers and open capsulorrhaphy on glenohumeral deformity in brachial plexus birth palsy
    Peter M Waters
    Department of Orthopaedic Surgery, Children s Hospital Boston, Boston, MA 02115, USA
    J Bone Joint Surg Am 90:2171-9. 2008
    ....
  24. ncbi Muscle transfer for shoulder reconstruction in obstetrical brachial plexus lesions
    Y Safoury
    Hand and Microsurgery Center, Cairo University, Cairo, Egypt
    Handchir Mikrochir Plast Chir 37:332-6. 2005
    ..Our results suggest that the Hoffer technique for shoulder reconstruction in OBPL is a reliable and safe technique...
  25. ncbi Brachial plexus involvement as the only expression of hereditary neuropathy with liability to pressure palsies
    K Ørstavik
    Department of Neurology, Ulleval Hospital, 0407 Oslo, Norway
    Muscle Nerve 24:1093-6. 2001
    ..The diagnosis of HNPP in this family was confirmed by both neurophysiological methods and DNA analysis. The distinction between HNPP and hereditary neuralgic amyotrophy is discussed...
  26. ncbi [Reconstruction of shoulder abduction and external rotation in obstetric brachial plexus palsy]
    Turker Ozkan
    Department of Plastic and Reconstructive Surgery, Medicine Faculty of Istanbul University, Capa, Turkey
    Acta Orthop Traumatol Turc 38:161-9. 2004
    ....
  27. ncbi Brachial plexus birth injury: US screening for glenohumeral joint instability
    Tiina H Pöyhiä
    Department of Radiology, Helsinki Medical Imaging Center, Helsinki University Central Hospital, POB 281, Helsinki, FIN 00029 HUS, Finland
    Radiology 254:253-60. 2010
    ..To prospectively evaluate the use and optimal timing of ultrasonographic (US) screening for posterior shoulder subluxation in infantswith brachial plexus birth injury (BPBI)...
  28. ncbi Pediatric brachial plexus reconstruction
    Julia K Terzis
    Department of Surgery, Division of Plastic and Reconstructive Surgery, and the Microsurgery Program, Eastern Virginia Medical School, Norfolk, VA 23501, USA
    Plast Reconstr Surg 124:e370-85. 2009
    ..Whatever the reports and results, the complex doctrine of obstetrical brachial plexus palsy continues to evolve with notable functional outcomes, but return to normal function remains a challenge for the future...
  29. ncbi Improvement in abduction of the shoulder after reconstructive soft-tissue procedures in obstetric brachial plexus palsy
    R K Nath
    Texas Nerve and Paralysis Institute, 2201 West Holcombe, Boulevard, Houston, Texas 77030, USA
    J Bone Joint Surg Br 89:620-6. 2007
    ....
  30. pmc Obstetric brachial plexus palsy: treatment strategy, long-term results, and prognosis
    Jörg Bahm
    Arbeitsbereich Plastische und Handchirurgie, Franziskushospital Aachen, Aachen, Germany
    Dtsch Arztebl Int 106:83-90. 2009
    ..Physiotherapy, microsurgical nerve reconstruction, secondary joint corrections, and muscle transpositions are employed with success. The role of conservative and operative treatment options should be regularly reviewed...
  31. pmc Arm rotated medially with supination - the ARMS variant: description of its surgical correction
    Rahul K Nath
    Texas Nerve and Paralysis Institute, Houston, TX, USA
    BMC Musculoskelet Disord 10:32. 2009
    ..OBPI also causes muscle imbalances at the level of the forearm, that lead to a fixed supination deformity (SD) in a small number of patients. Both MRC and SD will cause severe functional limitations without surgical intervention...
  32. ncbi Natural history of obstetric brachial plexus palsy: a systematic review
    Willem Pondaag
    Department of Neurosurgery, Leiden University Medical Centre, PO Box 9600, 2300 RC Leiden, The Netherlands
    Dev Med Child Neurol 46:138-44. 2004
  33. ncbi Obstetric brachial plexus injuries
    Martijn J A Malessy
    Department of Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands
    Neurosurg Clin N Am 20:1-14, v. 2009
    ..The studies of preoperative electromyographic and intraoperative nerve action potential and compound motor action potentials, and of results of nerve surgery, of which some parts have been published, are discussed...
  34. ncbi Neonatal brachial plexus palsy. Outcome of absent biceps function at three months of age
    Nicholas C Smith
    Department of Orthopaedics, Children s Hospital at Westmead, Locked Bag 4001, Westmead, NSW 2145, Sydney, Australia
    J Bone Joint Surg Am 86:2163-70. 2004
    ..To provide a benchmark for outcome comparison, the long-term outcome of patients with absent biceps muscle function at three months of age was studied...
  35. ncbi Glenohumeral deformity in children with internal rotation contractures secondary to brachial plexus birth palsy: intraoperative arthrographic classification
    Darissa S Kon
    Department of Diagnostic Imaging, Kaiser Permanente Los Angeles Medical Center, Los Angeles, CA, USA
    Radiology 231:791-5. 2004
    ....
  36. ncbi Effect of tendon transfers and extra-articular soft-tissue balancing on glenohumeral development in brachial plexus birth palsy
    Peter M Waters
    Department of Orthopaedic Surgery, Children s Hospital, 300 Longwood Avenue, Hunnewell 2, Boston, MA 02115, USA
    J Bone Joint Surg Am 87:320-5. 2005
    ....
  37. ncbi Management of birth brachial plexus palsy
    Donncha F O'Brien
    Department of Neurosurgery, St Louis Children s Hospital, School of Medicine, Washington University in St Louis, St Louis, MO, USA
    Childs Nerv Syst 22:103-12. 2006
    ..The indications for surgical repair of congenital brachial plexus palsy are controversial. Our objective was to determine the results of early brachial plexus surgery following obstetric-induced brachial plexus palsy...
  38. ncbi Long-term follow-up of children with obstetric brachial plexus palsy I: functional aspects
    Christina Strömbeck
    Department of Neuropaediatrics, Astrid Lindgren Children s Hospital, Karolinska University Hospital, Stockholm, Sweden
    Dev Med Child Neurol 49:198-203. 2007
    ..In a related article (part II: neurophysiological aspects) long-term neurophysiological and sensory aspects of OBPP are reported...
  39. ncbi Outcomes of secondary shoulder reconstruction in obstetrical brachial plexus palsy
    Julia K Terzis
    Department of Surgery, Division of Plastic and Reconstructive Surgery, Eastern Virginia Medical School, Norfolk, VA 23501, USA
    Plast Reconstr Surg 122:1812-22. 2008
    ..The outcomes were analyzed in relation to the type of injury, the timing of surgery, and the type of secondary reconstruction...
  40. ncbi Brachial plexus palsy secondary to birth injuries
    J M Kirkos
    Kilkis General Hospital, Kilkis, Greece
    J Bone Joint Surg Br 87:231-5. 2005
    ..In the long term there was loss of active external rotation, possibly because of gradual degeneration of the transferred muscles, contracture of the surrounding soft tissues and degenerative changes in the glenohumeral joint...
  41. ncbi Posterior subluxation and dislocation of the shoulder in obstetric brachial plexus palsy
    S B S Kambhampati
    Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex HA7 4LP, UK
    J Bone Joint Surg Br 88:213-9. 2006
    ..Active medial rotation was decreased by a mean of 10 degrees . There were 20 failures. The functional outcome is related to the severity of the neurological lesion, the duration of the dislocation and onset of deformity...
  42. ncbi Posterior shoulder dislocation in infants with neonatal brachial plexus palsy
    Didier Moukoko
    Texas Scottish Rite Hospital for Children, 2222 Welborn Street, Dallas, TX 75219, USA
    J Bone Joint Surg Am 86:787-93. 2004
    ..The prevalence of early dislocation in infants with this disorder has not been previously reported, to our knowledge...
  43. ncbi Correlation between external rotation of the glenohumeral joint and deformity after brachial plexus birth palsy
    Scott H Kozin
    Shriners Hospital for Children, Philadelphia, Pennsylvania 19140, USA
    J Pediatr Orthop 24:189-93. 2004
    ..Progressive loss of external rotation beyond neutral correlated with increased angles of retroversion and increased posterior subluxation of the humeral head and should be regarded as in indicator of shoulder malformation...
  44. ncbi Rotation osteotomy of the humerus for Erb's palsy in children with humeral head deformity
    Mohammad M Al-Qattan
    Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia
    J Hand Surg Am 27:479-83. 2002
    ..This osteotomy for selected children is simple and safe and has a high satisfaction rate functionally and aesthetically...
  45. ncbi Arthroscopic release and latissimus dorsi transfer for shoulder internal rotation contractures and glenohumeral deformity secondary to brachial plexus birth palsy
    Michael L Pearl
    Department of Orthopaedic Surgery, Center for Medical Education, Kaiser Permanente Los Angeles Medical Center, 4760 Sunset Boulevard, Los Angeles, CA 90027, USA
    J Bone Joint Surg Am 88:564-74. 2006
    ..We report the results for the first thirty-three children followed for a minimum of two years after such treatment...
  46. pmc Scapular deformity in obstetric brachial plexus palsy: a new finding
    Rahul K Nath
    Texas Nerve and Paralysis Institute, 2201 W Holcombe Blvd, Ste 225, Houston, TX 77030, USA
    Surg Radiol Anat 29:133-40. 2007
    ..This finding provides a classification tool for diagnosis and objective evaluation of the bony deformity and its severity in obstetric brachial plexus palsy patients...
  47. ncbi One-bone forearm fusion for pediatric supination contracture due to neurologic deficit
    A A Wang
    University of Utah, Department of Orthopedics, Shriner s Hospital Intermountain Unit, Salt Lake City, UT 84132, USA
    J Hand Surg Am 26:611-6. 2001
    ..Average follow-up was 6 years 6 months (range 1 year 9 months to 11 years 2 months), and all patients were satisfied with their new forearm position...
  48. ncbi Treatment of the supination deformity in the pediatric brachial plexus patient
    Scott H Kozin
    Department of Orthopaedic Surgery, Temple University, Shriners Hospital for Children, Philadelphia, PA 19140, USA
    Tech Hand Up Extrem Surg 10:87-95. 2006
    ..A biceps transfer may be performed at the same time to further balance the forearm and prevent recurrence. This article describes our preferred surgical technique for both supple and fixed supination deformities of the forearm...
  49. ncbi Arthroscopic release of shoulder contracture secondary to birth palsy: an early report on findings and surgical technique
    Michael L Pearl
    Center for Medical Education, Department of Orthopaedic Surgery, Kaiser Permanente Los Angeles Medical Center, Los Angeles, California 90027, USA
    Arthroscopy 19:577-82. 2003
    ..This article describes an arthroscopic method of contracture release in this patient population...
  50. ncbi Shoulder contracture and osseous deformity in obstetrical brachial plexus injuries
    Agnes F Hoeksma
    Department of Rehabilitation Medicine, Jan van Breeman Institute, The Netherlands
    J Bone Joint Surg Am 85:316-22. 2003
    ....
  51. ncbi External rotation as a result of suprascapular nerve neurotization in obstetric brachial plexus lesions
    Willem Pondaag
    Department of Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands
    Neurosurgery 57:530-7; discussion 530-7. 2005
    ..Of special interest was the comparison of two commonly applied SSN neurotization procedures: nerve grafting from C5 versus nerve transfer of the accessory nerve...
  52. ncbi Arthroscopic treatment of posterior glenohumeral joint subluxation resulting from brachial plexus birth palsy
    David I Pedowitz
    Department of Orthopaedic Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA, USA
    J Shoulder Elbow Surg 16:6-13. 2007
    ..Arthroscopic capsular release and subscapularis tenotomy were successful in obtaining reduction of glenohumeral joint subluxation in all patients. The maintenance of reduction requires continued follow-up over time...
  53. ncbi Radiculoplexopathy with conduction block caused by acute Epstein-Barr virus infection
    Steve Vucic
    Department of Neurology, Massachusetts General Hospital, Boston, MA 02114, USA
    Neurology 64:530-2. 2005
    ..Neurophysiologic studies demonstrated CB in the proximal left median and ulnar nerve segments. The authors conclude that this syndrome resulted from a postinfectious process following acute EBV infection...
  54. ncbi The effect of derotational humeral osteotomy on global shoulder function in brachial plexus birth palsy
    Peter M Waters
    Department of Orthopaedic Surgery, Children s Hospital, 300 Longwood Avenue, Hunn 2, Boston, MA 02115, USA
    J Bone Joint Surg Am 88:1035-42. 2006
    ..The purpose of this study was to determine the effects of these procedures on shoulder function and joint morphology...
  55. ncbi Update on management of pediatric brachial plexus palsy
    Peter M Waters
    Department of Orthopedic Surgery, Harvard Medical School, Children s Hospital Boston, Boston, Massachusetts, USA
    J Pediatr Orthop B 14:233-44. 2005
    ..Recommendations for microsurgery and shoulder reconstruction will be based on the present evidence from the literature...
  56. ncbi Long-term results of surgery for brachial plexus birth palsy
    Mikko Kirjavainen
    Department of Orthopaedics and Traumatology, Hospital for Children and Adolescents, Helsinki University Central Hospital, PL 266, 0029 HUS, Finland
    J Bone Joint Surg Am 89:18-26. 2007
    ..We present the findings of a nationwide study, with a minimum five-year follow-up, of the outcomes of surgery for brachial plexus birth palsy in Finland...
  57. ncbi Management of obstetrical brachial plexus palsy evaluation, prognosis, and primary surgical treatment
    Jeffrey R Marcus
    Division of Plastic Surgery, Hospital for Sick Children, University of Toronto, 555 University Avenue, Suite 1524, Toronto, Ontario M5R1X8, Canada
    Clin Plast Surg 30:289-306. 2003
    ..As the field of obstetrical brachial plexopathy management continues to evolve, we can expect that questions will continue to be answered using such scientific methodology...
  58. ncbi Electromyography, nerve action potential, and compound motor action potentials in obstetric brachial plexus lesions: validation in the absence of a "gold standard"
    Martijn J A Malessy
    Department of Neurosurgery, Leiden University Medical Center, Leiden, The Netherlands
    Neurosurgery 65:A153-9. 2009
    ..The intraoperative appraisal is difficult and depends on experience, but even in experienced hands, misjudgment can be made...
  59. ncbi Oberlin's ulnar nerve transfer to the biceps motor nerve in obstetric brachial plexus palsy: indications, and good and bad results
    Hassan Hamdy Noaman
    Reconstructive Surgery Unit, Franziskus Hospital, Aachen, Germany
    Microsurgery 24:182-7. 2004
    ..neuroma-in-continuity of the upper trunk with intraoperative good nerve conduction for the shoulder muscles, the same as preoperative good shoulder function but with no biceps action...
  60. ncbi Nerve reconstruction in patients with obstetric brachial plexus injury results in worsening of glenohumeral deformity: a case-control study of 75 patients
    R K Nath
    Texas Nerve and Paralysis Institute, Houston, Texas 77030, USA
    J Bone Joint Surg Br 91:649-54. 2009
    ..Nerve reconstruction should be reserved for those less common cases where the C5 and C6 nerve roots will not recover...
  61. ncbi Changing glenoid version after open reduction of shoulders in children with obstetric brachial plexus palsy
    James H P Hui
    Royal Children s Hospital, Melbourne, Australia
    J Pediatr Orthop 23:109-13. 2003
    ..The angle of glenoid retroversion in the affected shoulders decreased by a mean of 31% after open reduction, and the retroversion continued to improve at 9% per year...
  62. ncbi Botulinum toxin treatment of cocontractions after birth-related brachial plexus lesions
    J D Rollnik
    Department of Neurology and Clinical Neurophysiology, Medical School of Hannover, Germany
    Neurology 55:112-4. 2000
    ..05), and muscle force of elbow flexion increased from a mean of Medical Research Council classification 1.7 to 3.7 (p < 0.05). After a 1-year follow-up, there was no clinical recurrence...
  63. ncbi Early parental experiences of obstetric brachial plexus palsy
    M Bellew
    Department of Plastic Surgery, St James s University Hospital, Leeds, UK
    J Hand Surg Br 28:339-46. 2003
    ..Support was found for the latter as the parents reported details of problems in communication, particularly the giving of inaccurate and misleading information...
  64. ncbi Comparison of arthroscopic findings with magnetic resonance imaging and arthrography in children with glenohumeral deformities secondary to brachial plexus birth palsy
    Michael L Pearl
    Kaiser Permanente Los Angeles Medical Center, California, USA
    J Bone Joint Surg Am 85:890-8. 2003
    ....
  65. ncbi Measuring secondary deformities of the shoulder in children with obstetric brachial plexus lesion: reliability of three methods
    Johannes A van der Sluijs
    Department of Orthopaedic Surgery, Vrije University Medical Centre, Amsterdam, The Netherlands
    J Pediatr Orthop B 12:211-4. 2003
    ..The reliability of the glenoid form showed a kappa value between 0.52 and 0.64, and the reliability of the humeral subluxation had a standard deviation between 7.7 and 12.4 degrees. The measurement methods showed no systematic bias...
  66. ncbi Management of brachial plexus injuries
    G Blaauw
    Department of Neurosurgery, University Hospital, Maastricht, The Netherlands
    Adv Tech Stand Neurosurg 33:201-31. 2008
    ..In this paper we treat both groups in parallel because as far as primary (= nerve) surgery is concerned, many treatment problems and solutions are present in both groups and are therefore comparable...
  67. ncbi Shoulder function following partial spinal accessory nerve transfer for brachial plexus birth injury
    John A I Grossman
    Brachial Plexus Program, Miami Children s Hospital, Miami, FL 33176, USA
    J Plast Reconstr Aesthet Surg 59:373-5. 2006
    ..At a minimum follow-up of 2.5 years, all children had shoulder function of Grade 4 or better using a modified Gilbert Scale. Average lateral rotation was measured at 53 degrees...
  68. ncbi Restoration of shoulder function with nerve transfers in traumatic brachial plexus palsy patients
    Julia K Terzis
    Division of Plastic and Reconstructive Surgery, Eastern Virginia Medical School, Norfolk, VA 23510, USA
    Microsurgery 26:316-24. 2006
    ..Concomitant neurotization of the axillary nerve yields improved outcomes in shoulder abduction and external rotation function...
  69. ncbi Importance of early passive mobilization following double free gracilis muscle transfer
    Kazuteru Doi
    Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Yamaguchi, Japan
    Plast Reconstr Surg 121:2037-45. 2008
    ..The purpose of this study was to evaluate the effectiveness of early postoperative passive mobilization of the tendon to prevent its adhesion and the need for tenolysis...
  70. doi Results of latissimus dorsi transfer in obstetrical brachial plexus injury
    E Oscar van Kooten
    Tech Hand Up Extrem Surg 12:195-9. 2008
    ..This retrospective article evaluated the results of the LD transfer in a group of 9 patients. The study shows that in the near future, profit can be made in active and passive external rotation...
  71. ncbi Obstetric brachial plexus palsy: a prospective study on risk factors related to manual assistance during the second stage of labor
    Margareta Mollberg
    Perinatal Center, Department of Obstetrics and Gynecology, Sahlgrenska University Hospital, University of Goteborg, Goteborg, Sweden
    Acta Obstet Gynecol Scand 86:198-204. 2007
    ..To evaluate the association between obstetric brachial plexus palsy and obstetrical maneuvers during the second stage of delivery...
  72. ncbi Living-donor nerve transplantation for global obstetric brachial plexus palsy
    Scott A Gruber
    Division of Immunology and Organ Transplantation, Department of Surgery, Houston, TX, USA
    J Reconstr Microsurg 22:245-54. 2006
    ....
  73. ncbi The function of the hand after operations for obstetric injuries to the brachial plexus
    M Kirjavainen
    Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, Finland
    J Bone Joint Surg Br 90:349-55. 2008
    ..26 (1 to 5) (C5-7) and 2.16 (0 to 5) in patients with total injury. The location of impaired sensation was related to the distribution of the root injury. Avulsion type of injury correlated with poor recovery of hand function...
  74. ncbi The Assisting Hand Assessment: current evidence of validity, reliability, and responsiveness to change
    Lena Krumlinde-sundholm
    Neuropediatric Research Unit, Department of Women and Child Health, Karolinska Institutet, Stockholm, Sweden
    Dev Med Child Neurol 49:259-64. 2007
    ..Aspects of item fit, relationship between age and ability measures, and development of assisting hand function are discussed...
  75. ncbi Motor recovery and the breathing arm after brachial plexus surgical repairs, including re-implantation of avulsed spinal roots into the spinal cord
    M Htut
    Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore, UK
    J Hand Surg Eur Vol 32:170-8. 2007
    ..Our study shows that re-connection of avulsed spinal roots can produce good motor recovery and provides a clinical model for developing new treatments which may enhance nerve regeneration...
  76. ncbi On the mechanical aspects of shoulder dystocia and birth injury
    Robert H Allen
    Department of Biomedical Engineering, The Johns Hopkins Whiting School of Engineering and School of Medicine, Baltimore, Maryland, USA
    Clin Obstet Gynecol 50:607-23. 2007
    ....
  77. ncbi Collagen nerve guides for surgical repair of brachial plexus birth injury
    William W Ashley
    Department of Neurosurgery, St Louis Children s Hospital, Washington University School of Medicine, St Louis, Missouri 63110, USA
    J Neurosurg 105:452-6. 2006
    ..To improve surgical outcomes and reduce surgical risks associated with autologous nerve graft retrieval and placement, the authors use collagen matrix tubes (Neurogen) instead of autologous nerve graft material...
  78. ncbi Long-term results of spinal accessory nerve transfer to the suprascapular nerve in upper-type paralysis of brachial plexus injury
    Kouichi Suzuki
    Department of Orthopedic Surgery, Ogori Daiichi General Hospital, Yoshiki gun, Yamaguchi 754 0002, Japan
    J Reconstr Microsurg 23:295-9. 2007
    ..We, therefore, conclude that repair of long thoracic nerve is mandatory for achieving optimum shoulder function...
  79. ncbi Accessory nerve to suprascapular nerve transfer to restore shoulder exorotation in otherwise spontaneously recovered obstetric brachial plexus lesions
    Willem J R van Ouwerkerk
    Department of Neurosurgery, Vrije Universiteit University Medical Centre Amsterdam, Amsterdam, The Netherlands
    Neurosurgery 59:858-67; discussion 867-9. 2006
    ....
  80. ncbi The relationship of fetal position and ethnicity with shoulder dystocia and birth injury
    Yvonne W Cheng
    Division of Perinatal Medicine and Genetics, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, San Francisco, CA 94143 0132, USA
    Am J Obstet Gynecol 195:856-62. 2006
    ..The objective of this study was to examine factors associated with the occurrence of shoulder dystocia and subsequent perinatal outcomes...
  81. ncbi Outcome of subscapularis muscle release for shoulder contracture secondary to brachial plexus palsy at birth
    Christopher J Newman
    Central Remedial Clinic, Dublin, Ireland
    J Pediatr Orthop 26:647-51. 2006
    ..Subscapularis muscle release is a procedure we found to have few significant complications and was highly effective in increasing active range of motion and restoring shoulder function...
  82. ncbi Magnetic resonance neurography in children with birth-related brachial plexus injury
    Alice B Smith
    Department of Neuroradiology, University of California, San Francisco, San Francisco, CA 94143 0628, USA
    Pediatr Radiol 38:159-63. 2008
    ..Clinical examination and electrodiagnostic studies have been used in the evaluation of birth-related brachial plexus injury. These are limited in their demonstration of anatomic detail and severity of injury...
  83. ncbi Extremity shortness in obstetric brachial plexus lesion and its relationship to root avulsion
    Hilmi Uysal
    Department Akdeniz University Hospital, Antalya, Turkey
    J Child Neurol 22:1377-83. 2007
    ..The effect of avulsion on extremity shortness gradually increases with age. Finally, root avulsion can be an important factor in extremity shortness of obstetric brachial plexus palsy patients...
  84. ncbi Nerve transfers in children with traumatic partial brachial plexus injuries
    Jean Noel Goubier
    International Center of Hand Surgery, Clinique du Parc Monceau, 21 rue de Chazelles, 75017 Paris, France
    Microsurgery 28:117-20. 2008
    ..No complications were observed. Nerve transfers currently used in adult patients may be applied in children with traumatic partial brachial plexus palsies...
  85. ncbi Diagnostic performance of MRI and MR myelography in infants with a brachial plexus birth injury
    L Santiago Medina
    Division of Neuroradiology, Department of Radiology, Brain Institute, Health Outcomes, Policy, and Economics HOPE Center, Miami Children s Hospital, Miami, FL, USA
    Pediatr Radiol 36:1295-9. 2006
    ..Detailed evaluation of a brachial plexus birth injury is important for treatment planning...
  86. ncbi [Indications and results of operative treatment in birth-related brachial plexus injuries]
    R Hierner
    Plastische, Rekonstruktive und Asthetische Chirurgie, Zentrum für Mikrochirurgie, Handchirurgie, Verbrennung, Universitätsklinikum Gasthuisberg, Katholische Universität, Leuven, Belgien
    Handchir Mikrochir Plast Chir 37:323-31. 2005
    ..Moreover, microsurgical reconstruction of the brachial plexus does increase the possibilities of secondary muscle/tendon transfers...
  87. ncbi Modified Steindler procedure for the treatment of brachial plexus injuries
    Osamu Ishida
    Department of Orthopaedic Surgery, Hiroshima University Faculty of Medicine, 1 2 3 Kasumi, Minami Ku, Hiroshima, 734 8551, Japan
    Arch Orthop Trauma Surg 126:63-5. 2006
    ..Based on these results, we concluded that a modified Steindler procedure is useful for reconstruction of upper brachial plexus injuries, and recovery of the biceps brachii was difficult to predict by an electromyogram...
  88. ncbi Update on management of pediatric brachial plexus palsy
    Peter M Waters
    Harvard Medical School and Children s Hospital Boston, Boston, Massachusetts 02115, USA
    J Pediatr Orthop 25:116-26. 2005
    ..Recommendations for microsurgery and shoulder reconstruction will be based on the present evidence from the literature...
  89. ncbi Birth injuries of the brachial plexus
    Joseph H Piatt
    Section of Neurosurgery, St Christopher s Hospital For Children, Erie Avenue at Front Street, Philadelphia, PA 19134, USA Department of Pediatrics, Drexel University College of Medicine, Philadelphia, PA 19134, USA
    Clin Perinatol 32:39-59, v-vi. 2005
    ..Brachial plexus reconstruction is only a first step in the multidisciplinary process needed to optimize long-term functional outcomes for severely affected infants...
  90. pmc The breathing hand: obstetric brachial plexopathy reinnervation from thoracic roots?
    S M Friedenberg
    Department of Neurology, Geisinger Medical Center, Danville, Pennsylvania 17822, USA
    J Neurol Neurosurg Psychiatry 75:158-60. 2004
    ..quot; This novel brand of synkinesis indicates that obstetric brachial plexus neuropathies can have quite proximal nerve injury in all trunks...
  91. ncbi Birth injuries of the brachial plexus
    Joseph H Piatt
    Section of Neurosurgery, St Christopher s Hospital For Children, Erie Avenue at Front Street, Philadelphia, PA 19134 1095, USA
    Pediatr Clin North Am 51:421-40. 2004
    ..Brachial plexus reconstruction is only a first step in the multidisciplinary process needed to optimize long-term functional outcomes for severely affected infants...
  92. ncbi Nerve transfers in adult brachial plexus injuries: my methods
    David Chwei Chin Chuang
    Department of Plastic Surgery, Chang Gung University Hospital, 199 Tun Hwa North Road, Taipei Linkou, Taipei 105, Taiwan
    Hand Clin 21:71-82. 2005
    ..Intrinsic hand function was obtained with help of dynamic splinting for interphalangeal joint extension and arthrodesis of thumb joints asa post for opposition...
  93. ncbi Identification of the phrenic nerve in surgical exploration of the brachial plexus in obstetrical palsy
    Mohammad M Al-Qattan
    Division of Plastic Surgery, King Saud University, Riyadh, Saudi Arabia
    J Hand Surg Am 29:391-2. 2004
    ..Finally, the dissected supraclavicular nerve may be used as a cable graft in brachial plexus reconstruction...
  94. ncbi Restoration of hand function and so called "breathing arm" after intraspinal repair of C5-T1 brachial plexus avulsion injury. Case report
    Thomas Carlstedt
    The Periphery Nerve Injury Unit, The Royal National Orthopaedic Hospital, Stanmore, United Kingdom
    Neurosurg Focus 16:E7. 2004
    ..To the best of the authors' knowledge, the present case demonstrates, for the first time, that spinal cord surgery can restore hand function after a complete brachial plexus avulsion injury...
  95. ncbi Gracilis free muscle transfer for restoration of function after complete brachial plexus avulsion
    Kimberly A Barrie
    Triangle Orthopaedic Associates, Durham, North Carolina, USA
    Neurosurg Focus 16:E8. 2004
    ..The authors report the functional outcomes after functioning free muscle transfer (FFMT) for restoration of the upper-extremity movement after brachial plexus injury (BPI)...
  96. ncbi Shoulder function following late neurolysis and bypass grafting for upper brachial plexus birth injuries
    John A I Grossman
    Brachial Plexus Program, Miami Children s Hospital, Miami, FL, USA
    J Hand Surg Br 29:356-8. 2004
    ..Two patients underwent a secondary procedure before their final follow-up evaluation. All infants demonstrated significant improvement when assessed by a modified Gilbert shoulder motion scale...
  97. ncbi Management of infant brachial plexus injuries
    Saleh M Shenaq
    Texas Children s Hospital, 6701 Fannin Street Houston, TX 77030, USA
    Clin Plast Surg 32:79-98, ix. 2005
    ..Further advances in bionics and stem cell therapy may help replace the dynamic functional deficits of obstetric brachial plexus palsy...
  98. ncbi The dorsal approach to the suprascapular nerve in neuromuscular reanimation for obstetric brachial plexus lesions
    Jörg Bahm
    Reconstructive Microsurgery Unit, St Franziskus Hospital, Aachen, Germany
    Plast Reconstr Surg 115:240-4. 2005
  99. ncbi [Paralysis plexus brachialis--diagnostic and therapeutic protocol]
    Ivana Petrovic
    Srp Arh Celok Lek 132:58-61. 2004
    ..Therapeutic approach was individualized and depended on the level and degree of lesions. Thus, maximal motor and functional recovery of the injured extremity was achieved, with work therapy and professional orientation of such patients...
  100. ncbi [Maternal risks for newborn macrosomia, incidence of a shoulder dystocia and of damages of the plexus brachialis]
    P Berle
    Geschäftsstelle Qualitätssicherung Hessen
    Z Geburtshilfe Neonatol 207:148-52. 2003
    ....
  101. ncbi Spontaneous muscle fiber activity appears early in cases of obstetric brachial plexopathy
    A J Colon
    Muscle Nerve 28:515-6. 2003

Research Grants9

  1. Prevention Unintentional Mechanical Birth Injuries
    Edith Gurewitsch; Fiscal Year: 2006
    ..to conduct a small, randomized clinical trial comparing clinician-applied forces following McRoberts' maneuver (a maternal manipulation) and following Rubin's maneuver (a fetal manipulation). ..
  2. Age-related changes in proprioceptive acuity
    Susan Brown; Fiscal Year: 2006
    ..abstract_text> ..
  3. NEUROSCIENCE OF HIV CONFERENCE
    Joseph Berger; Fiscal Year: 2002
    ..Dr. Brian Wigdahl, international co-chair of the ISNV, is a co-investigator on this grant. ..
  4. The Electrophysiology of Motor Neuron Diseases
    Mark Bromberg; Fiscal Year: 2002
    ..Currently, most MUNE techniques rely on proprietary software. We will develop software for use on PC-based computer systems, making them available to all laboratories. ..
  5. JCV Virus Expression in Oropharynx and HIV
    Joseph Berger; Fiscal Year: 2004
    ..This line of investigation would add credence to an oropharyngeal mechanism of JCV transmission and may ultimately lead to the clinical identification of an acute illness attributable to this pathogen. ..
  6. MR PREDICTORS OF RESPONSE TO HAART IN HIV DEMENTIA
    Joseph Berger; Fiscal Year: 2004
    ..It will also open novel avenues for exploring the differential sensitivities of these pathways to HAART, and suggest unique therapeutic options. ..
  7. HIV Neuroprotection Workshop
    Joseph Berger; Fiscal Year: 2004
    ..The proposed conference is the first of its kind to highlight neuroprotection in HIV CNS and PNS disorders. By coupling this meeting with the International Symposium on Neurovirology this synergy can be exploited. ..
  8. MULTICENTER NETWORK OF NEONATAL INTENSIVE CARE UNITS
    T O SHEA; Fiscal Year: 2005
    ..abstract_text> ..
  9. Repair of Bladder Function after Cauda Equina Injury
    Leif A Havton; Fiscal Year: 2010
    ..We believe that our proposal has translational research potential for the development of new treatments for patients with conus medullaris/cauda equina injuries. ..