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Associated Concomitant Injuries

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Operative Brachial Plexus Surgery

Abstract

Infants that develop a neonatal brachial plexus palsy are subject to more than just a focal nerve injury. In this chapter we discuss injuries that both occur simultaneously with the NBPP and also develop along with the nerve injury over time. In order to appreciate the full impact that this has on an individual’s life, we have to look at more factors than neurological motor recovery. Through this chapter you will learn about physical, anatomic, respiratory, sensory, cognitive, and psychosocial injuries that can impact the overall outcome for children with neonatal brachial plexus palsy. With a better understanding of the multiple issues that may arise within this population, we hope to be able to care for them in a more comprehensive way.

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Bibliography

  1. Stramrood CAI, Blok CA, Van Der Zee DC, Gerards LJ. Neonatal phrenic nerve injury due to traumatic delivery. J Perinat Med. 2009;37(3):293–6.

    Article  Google Scholar 

  2. Imai T, Shizukawa H, Imaizumi H, Matsumoto H. Transient phrenic nerve palsy after cardiac operation in infants. Clin Neurophysiol. 2004;115(6):1469–72.

    Article  Google Scholar 

  3. Ross Russell RI, Helms PJ, Elliott MJ. A prospective study of phrenic nerve damage after cardiac surgery in children. Intensive Care Med. 2008;34(4):728–34.

    Article  Google Scholar 

  4. Rafferty GF, Greenough A, Dimitriou G, Kavadia V, Laubscher B, Polkey MI, et al. Assessment of neonatal diaphragm function using magnetic stimulation of the phrenic nerves. Am J Respir Crit Care Med. 2000;162(6):2337–40.

    Article  CAS  Google Scholar 

  5. Bowerson M, Nelson VS, Yang LJS. Diaphragmatic paralysis associated with neonatal brachial plexus palsy. Pediatr Neurol. 2010;42(3):234–6.

    Article  Google Scholar 

  6. Al-Qattan MM, Clarke HM, Curtis CG. The prognostic value of concurrent phrenic nerve palsy in newborn children with Erb’s palsy. J Hand Surg Eur Vol. 1998;23(2):225.

    Article  CAS  Google Scholar 

  7. Beall MH, Ross MG. Clavicle fracture in labor: risk factors and associated morbidities. J Perinatol. 2001;21(8):513–5.

    Article  CAS  Google Scholar 

  8. Hsu TY, Hung FC, Lu YJ, Ou CY, Roan CJ, Kung FT, et al. Neonatal clavicular fracture: clinical analysis of incidence, predisposing factors, diagnosis, and outcome. Am J Perinatol. 2002;19(1):17–21.

    Article  Google Scholar 

  9. Lam MH, Wong GY, Lao TT. Reappraisal of neonatal clavicular fracture: relationship between infant size and risk factors. J Reprod Med Obstet Gynecol. 2002;47(11):903–8.

    Google Scholar 

  10. Leshikar HB, Bauer AS, Lightdale-Miric N, Molitor F, Waters PM. Clavicle fracture is not predictive of the need for microsurgery in brachial plexus birth palsy. J Pediatr Orthop. 2018;38(2):128–32.

    Article  Google Scholar 

  11. Al-Qattan MM, Clarke HM, Curtis CG. The prognostic value of concurrent clavicular fractures in newborns with obstetric brachial plexus palsy. J Hand Surg Am. 1994;19(6):729–30.

    Article  CAS  Google Scholar 

  12. Wall LB, Mills JK, Leveno K, Jackson G, Wheeler LC, Oishi SN, et al. Incidence and prognosis of neonatal brachial plexus palsy with and without clavicle fractures. Obstet Gynecol. 2014;123(6):1288–93.

    Article  Google Scholar 

  13. Pearl ML. Shoulder problems in children with brachial plexus birth palsy: evaluation and management. J Am Acad Orthop Surg. 2009;17(4):242–54.

    Article  Google Scholar 

  14. Justice D, Rasmussen L, Di Pietro M, Chang KWC, Murphy SL, Nelson VS, et al. Prevalence of posterior shoulder subluxation in children with neonatal brachial plexus palsy after early full passive range of motion exercises. PM R. 2015;7(12):1235–42.

    Article  Google Scholar 

  15. Ballock RT, Song KM. The prevalence of nonmuscular causes of torticollis in children. J Pediatr Orthop. 1996;16(4):500–4.

    Article  CAS  Google Scholar 

  16. Hervey-Jumper SL, Justice D, Vanaman MM, Nelson VS, Yang LJS. Torticollis associated with neonatal brachial plexus palsy. Pediatr Neurol. 2011;45(5):305–10.

    Article  Google Scholar 

  17. Kennedy R. Suture of the brachial plexus in birth paralysis of the upper extremity. Br Med J. 1903;1(2197):298–301.

    Article  CAS  Google Scholar 

  18. Tang M, Gorbutt KA, Peethambaran A, Yang L, Nelson VS, Chang KWC. High prevalence of cranial asymmetry exists in infants with neonatal brachial plexus palsy. J Pediatr Rehabil Med. 2016;9(4):271–7.

    Article  Google Scholar 

  19. Julka A, Vander Have KL. Shoulder sequelae of neonatal brachial plexus injuries: orthopedic assessment and management. J Pediatr Rehabil Med. 2011;4(2):131–40.

    Article  Google Scholar 

  20. Wagner ER, Werthel JD, Ansari M, Shaughnessy W, Elhassan BL. Natural history of the elbow bony architecture in patients with obstetric brachial plexus injury and the association with flexion contractures. J Am Acad Orthop Surg. 2018;26(23):e490–5.

    Article  Google Scholar 

  21. Sebastin SJ, Chung KC. Pathogenesis and management of deformities of the elbow, wrist, and hand in late neonatal brachial plexus palsy. J Pediatr Rehabil Med. 2011;4(2):119–30.

    Article  Google Scholar 

  22. Smith BW, Daunter AK, Yang LJS, Wilson TJ. An update on the management of neonatal brachial plexus palsy-replacing old paradigms a review. JAMA Pediatr. 2018;172(6):585–91.

    Article  Google Scholar 

  23. Rasmussen L, Justice D, Chang KWC, Nelson VS, Yang LJS. Home exercise DVD promotes exercise accuracy by caregivers of children and adolescents with brachial plexus palsy. PM R. 2013;5(11):924–30.

    Article  Google Scholar 

  24. Bain JR, Dematteo C, Gjertsen D, Packham T, Galea V, Harper JA. Limb length differences after obstetrical brachial plexus injury: a growing concern. Plast Reconstr Surg. 2012;130(4):558e–71e.

    Article  Google Scholar 

  25. Anand P, Birch R. Restoration of sensory function and lack of long-term chronic pain syndromes after brachial plexus injury in human neonates. Brain. 2002;125(Pt 1):113–22.

    Article  CAS  Google Scholar 

  26. Ho ES, Curtis CG, Clarke HM. Pain in children following microsurgical reconstruction for obstetrical brachial plexus palsy. J Hand Surg Am. 2015;40(6):1177–83.

    Article  Google Scholar 

  27. Yang LJS, Anand P, Birch R. Limb preference in children with obstetric brachial plexus palsy. Pediatr Neurol. 2005;33(1):46–9.

    Article  Google Scholar 

  28. Strömbeck C, Krumlinde-Sundholm L, Remahl S, Sejersen T. Long-term follow-up of children with obstetric brachial plexus palsy I: functional aspects. Dev Med Child Neurol. 2007;49(3):198–203.

    Article  Google Scholar 

  29. Palmgren T, Peltonen J, Linder T, Rautakorpi S, Nietosvaara Y. Sensory evaluation of the hands in children with brachial plexus birth injury. Dev Med Child Neurol. 2007;49(8):582–6.

    Article  Google Scholar 

  30. Oskay D, Ünal E, Çetinkaya Ş. Do obstetrical brachial plexus injuries affect proprioceptive sense? Neurosciences. 2010;15(4):268–71.

    PubMed  Google Scholar 

  31. Brown SH, Noble BC, Yang LJS, Nelson VS. Deficits in elbow position sense in neonatal brachial plexus palsy. Pediatr Neurol. 2013;49(5):324–8.

    Article  Google Scholar 

  32. Brown SH, Wernimont CW, Phillips L, Kern KL, Nelson VS, Yang LJS. Hand sensorimotor function in older children with neonatal brachial plexus palsy. Pediatr Neurol. 2016;56:42–7.

    Article  Google Scholar 

  33. Anguelova GV, Rombouts SARB, van Dijk JG, Buur PF, Malessy MJA. Increased brain activation during motor imagery suggests central abnormality in Neonatal Brachial Plexus Palsy. Neurosci Res. 2017;123:19–26.

    Article  Google Scholar 

  34. Chang KWC, Yang LJS, Driver L, Nelson VS. High prevalence of early language delay exists among toddlers with neonatal brachial plexus palsy. Pediatr Neurol. 2014;51(3):384–9.

    Article  Google Scholar 

  35. Hill EL. Non-specific nature of specific language impairment: a review of the literature with regard to concomitant motor impairments. Int J Lang Commun Disord. 2001;36(2):149–71.

    Article  CAS  Google Scholar 

  36. Owen SE, McKinlay IA. Motor difficulties in children with developmental disorders of speech and language. Child Care Health Dev. 1997;23(4):315–25.

    Article  CAS  Google Scholar 

  37. Webbe J, Brunton G, Ali S, Longford N, Modi N, Gale C. Parent, patient and clinician perceptions of outcomes during and following neonatal care: a systematic review of qualitative research. BMJ Paediatr Open. 2018;2(1):e000343.

    Article  Google Scholar 

  38. Chang KWC, Austin A, Yeaman J, Phillips L, Kratz A, Yang LJS, et al. Health-related quality of life components in children with neonatal brachial plexus palsy: a qualitative study. PM R. 2017;9(4):383–91.

    Article  Google Scholar 

  39. Squitieri L, Larson BP, Chang KWC, Yang LJS, Chung KC. Medical decision-making among adolescents with neonatal brachial plexus palsy and their families: a qualitative study. Plast Reconstr Surg. 2013;131(6):880e–7e.

    Article  CAS  Google Scholar 

  40. Mentrikoski JM, Duncan CL, Melanson A, Louden E, Allgier A, Michaud L, et al. Factors related to the psychosocial functioning of youth with neonatal brachial plexus injuries. J Pediatr Psychol. 2015;40(3):285–96.

    Article  Google Scholar 

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Correspondence to Lynda Yang .

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Ward, A., Smith, B., Yang, L. (2021). Associated Concomitant Injuries. In: Shin, A.Y., Pulos, N. (eds) Operative Brachial Plexus Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-69517-0_44

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  • DOI: https://doi.org/10.1007/978-3-030-69517-0_44

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-69516-3

  • Online ISBN: 978-3-030-69517-0

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