A Multidisciplinary Approach to Brachial Plexus Birth Injury: An Overview and Institutional Experience

被引:0
作者
Owens, Winston R. [1 ,2 ]
Mohan, Vamsi C. [1 ,2 ]
Quirarte, Diego M. [1 ,2 ]
Bovill, John D. [1 ]
Nguyen, Gabrielle T. [3 ,4 ]
Northcutt II, James H. [5 ]
Nguyen, Jenny Lee [1 ,2 ]
Pederson, William C. [1 ,2 ]
机构
[1] Baylor Coll Med, Michael E DeBakey Dept Surg, Div Plast Surg, Houston, TX USA
[2] Texas Childrens Hosp, Dept Surg, Div Plast Surg, Houston, TX USA
[3] Baylor Coll Med, Dept Phys Med & Rehabil, Houston, TX USA
[4] Texas Childrens Hosp, Dept Phys Med & Rehabil, Houston, TX USA
[5] Texas Childrens Hosp, Dept Phys & Occupat Therapy, Houston, TX USA
关键词
multidisciplinary clinics; brachial plexus birth injury; BPBI; nerve surgery; plastic surgery; glenohumeral dysplasia; BOTULINUM TOXIN; ROTATION CONTRACTURE; MANAGEMENT; INFANTS; PALSY; DISLOCATION;
D O I
10.1055/s-0045-1808270
中图分类号
R61 [外科手术学];
学科分类号
摘要
Without early diagnosis and intervention, brachial plexus birth injuries (BPBIs) can result in permanent upper extremity debilitation. Previously, BPBI was treated by single-specialty surgeons; however, given the complexity of the injury, BPBIs necessitate multidisciplinary team care. Common specialists involved within brachial plexus injury clinics include radiologists, physical medicine and rehabilitation physicians, occupational therapists, nerve surgeons, and shoulder surgeons. Care plans are meticulously designed by all team members, and depending on injury severity and clinical course, patients may undergo treatment including range-of-motion exercises, splinting, botulinum toxin injections, nerve surgery, or shoulder surgery. The objective of this article is to highlight and discuss key providers within BPBI clinics and describe the BPBI experience here at Texas Children's Hospital.
引用
收藏
页码:69 / 74
页数:6
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