Journal
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B
Volume 14, Issue 4, Pages 233-244Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01202412-200507000-00001
Keywords
brachial plexus; pediatric; management; surgery
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This manuscript will review the literature and focus on the present controversies regarding natural history, microsurgical treatment, and secondary shoulder reconstructive surgery in infants with brachial plexus birth palsies. Surgical indications, expected outcomes and complications will be addressed. The controversy regarding microsurgery timing in extra-foraminal ruptures will be addressed in detail. The developments in assessment and care of glenohumeral deformity with magnetic resonance imaging scans, arthroscopic and open reductions, and tendon transfers about the shoulder will be discussed. Recommendations for microsurgery and shoulder reconstruction will be based on the present evidence from literature. J Pediatr Orthop B 14:233-244 (c) 2005 Lippincott Williams & Wilkins.
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