Boston Children's Hospital approach to brachial plexus birth palsy

被引:10
作者
Vuillermin, Carley [1 ]
Bauer, Andrea S. [1 ]
机构
[1] Harvard Univ, Sch Med, Dept Orthopaed Surg, Boston Childrens Hosp, Boston, MA 02115 USA
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2016年 / 25卷 / 04期
关键词
brachial plexus birth palsy; microsurgery; nerve transfers; shoulder displacement; shoulder reduction; GLENOHUMERAL DEFORMITY; TENDON TRANSFERS; NERVE TRANSFER; SHOULDER SUBLUXATION; OPEN CAPSULORRHAPHY; NATURAL-HISTORY; ELBOW FLEXION; ULNAR NERVE; LONG HEAD; RAT MODEL;
D O I
10.1097/BPB.0000000000000330
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
The treatment of infants with brachial plexus birth palsy (BPBP) continues to be a focus at Boston Children's Hospital. Over the last 15 years, there have been many developments in the treatment of infants with BPBP. Some of the greatest changes have emerged through technical advances such as the advent of distal nerve transfers to allow targeted reinnervation as well as through research to understand the pathoanatomical changes that lead to glenohumeral dysplasia and how this dysplasia can be remodeled. This review will discuss our current practice of evaluation of the infant with BPBP, techniques for microsurgical reconstruction, and prevention and treatment of secondary glenohumeral dysplasia. Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码:296 / 304
页数:9
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