Peripartum and neonatal factors associated with the persistence of neonatal brachial plexus palsy at 1 year: a review of 382 cases

Journal of Neurosurgery. Pediatrics
Thomas J WilsonLynda J S Yang

Abstract

OBJECTIVE Neonatal brachial plexus palsy (NBPP) occurs due to the stretching of the nerves of the brachial plexus before, during, or after delivery. NBPP can resolve spontaneously or become persistent. To determine if nerve surgery is indicated, predicting recovery is necessary but difficult. Historical attempts explored the association of recovery with only clinical and electrodiagnostic examinations. However, no data exist regarding the neonatal and peripartum factors associated with NBPP persistence. METHODS This retrospective cohort study involved all NBPP patients at the University of Michigan between 2005 and 2015. Peripartum and neonatal factors were assessed for their association with persistent NBPP at 1 year, as defined as the presence of musculoskeletal contractures or an active range of motion that deviated from normal by > 10° (shoulder, elbow, hand, and finger ranges of motion were recorded). Standard statistical methods were used. RESULTS Of 382 children with NBPP, 85% had persistent NBPP at 1 year. A wide range of neonatal and peripartum factors was explored. We found that cephalic presentation, induction or augmentation of labor, birth weight > 9 lbs, and the presence of Horner syndrome all significantly increa...Continue Reading

References

Oct 1, 1969·Archives of Neurology·I A Brody, R H Wilkins
Jul 1, 1997·The Journal of the American Academy of Orthopaedic Surgeons·P M Waters
Jan 11, 2001·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·W J van OuwerkerkA C Slooff
Mar 13, 2003·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·G L BisinellaS J M Smith
Apr 30, 2003·Archives of Disease in Childhood. Fetal and Neonatal Edition·G Evans-JonesC Hernon
Feb 21, 2004·Developmental Medicine and Child Neurology·Willem PondaagRalph T W M Thomeer
Mar 11, 2004·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·J A Bertelli, M F Ghizoni
Oct 2, 2004·Obstetrics and Gynecology·Shad DeeringAndrew J Satin
Feb 7, 2006·American Journal of Obstetrics and Gynecology·Edith D GurewitschRobert H Allen
Jul 29, 2006·Journal of Neurosurgery·Willem Pondaag, Martijn J A Malessy
Nov 23, 2006·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Igor HudićFahrija Skokić
Jun 15, 2007·BJOG : an International Journal of Obstetrics and Gynaecology·K WeizsaeckerW R Cohen
Jun 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Susan L FoadJun Ying
Jul 11, 2009·Plastic and Reconstructive Surgery·Gregory H Borschel, Howard M Clarke
Nov 4, 2009·Journal of Children's Orthopaedics·Susan L FoadWilliam C Lippert
May 18, 2011·Obstetrics and Gynecology Clinics of North America·Edith D Gurewitsch, Robert H Allen
Oct 1, 2011·Journal of Pediatric Rehabilitation Medicine·Martijn J A Malessy, Willem Pondaag
Nov 2, 2011·PloS One·Martijn J A MalessyJ Gert van Dijk
Mar 23, 2012·Archives of Gynecology and Obstetrics·Rania Okby, Eyal Sheiner
Aug 13, 2013·Journal of Neurosurgery. Pediatrics·Kate W C ChangLynda J S Yang
Oct 22, 2013·Pediatric Neurology·Susan H BrownVirginia S Nelson
Feb 14, 2014·BioMed Research International·Stuart A BadeHoward M Clarke
Mar 29, 2014·AJNR. American Journal of Neuroradiology·R TseG E Ishak
May 28, 2014·Seminars in Perinatology·Joseph G Ouzounian
May 28, 2014·Seminars in Perinatology·Lynda J-S Yang
Aug 28, 2014·Pediatric Neurology·Kate Wan-Chu ChangVirginia S Nelson
Nov 28, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·S Zuarez-EastonR Salim
Mar 26, 2015·The Journal of Hand Surgery·Kiyoshi Yoshida, Hidehiko Kawabata

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Citations

Dec 9, 2017·Journal of Neurosurgery. Pediatrics·Kate W C ChangLynda J S Yang
Oct 11, 2017·Journal of Pediatric Orthopedics·Christopher J DeFrancescoApurva S Shah
May 12, 2018·The Journal of Hand Surgery, European Volume·Kiyoshi Yoshida, Hidehiko Kawabata
Nov 18, 2018·Health and Quality of Life Outcomes·Christopher W H YauErik Lenguerrand
Apr 19, 2017·Neurosurgery·Thomas J WilsonLynda J S Yang
Feb 6, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Leena M NarendranSean C Blackwell
Feb 27, 2021·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Han-Yang ChenSuneet P Chauhan
May 22, 2021·American Journal of Obstetrics and Gynecology·Stephen M WagnerSuneet P Chauhan

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Methods Mentioned

BETA
cesarean section

Software Mentioned

SPSS

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