Promoting Recovery Following Birth Brachial Plexus Palsy

Marisa Osorio; Sarah Lewis; Raymond W Tse

doi:10.1016/j.pcl.2023.01.016

Promoting Recovery Following Birth Brachial Plexus Palsy

Pediatr Clin North Am. 2023 Jun;70(3):517-529. doi: 10.1016/j.pcl.2023.01.016. Epub 2023 Mar 21.

Authors

Marisa Osorio¹, Sarah Lewis², Raymond W Tse³

Affiliations

¹ Department of Rehabilitation Medicine, University of Washington, Seattle Children's Hospital, Rehabilitation Medicine, 4800 Sand Point Way Northeast, OB 8.410, Seattle, WA 98105, USA. Electronic address: Marisa.Osorio@seattlechildrens.org.
² Rehabilitation Medicine, Seattle Children's Hospital, 4800 Sand Point Way Northeast, OB 8.410, Seattle, WA 98105, USA.
³ Division of Plastic Surgery, Department of Surgery, University of Washington, 4800 Sand Point Way Northeast, OB9.527, Seattle, WA 98105, USA; Division of Craniofacial and Plastic Surgery, Department of Surgery, Seattle Children's Hospital, 4800 Sand Point Way Northeast, OB9.527, Seattle, WA 98105, USA.

PMID: 37121640
DOI: 10.1016/j.pcl.2023.01.016

Abstract

Neonatal brachial plexus palsies (NBPP) occur in 1.74 per 1000 live births with 20% to 30% having persistent deficits. Dysfunction can range from mild to severe and is correlated with the number of nerves involved and the degree of injury. In addition, there are several comorbidities and musculoskeletal sequelae that directly impact the overall functional development. This review addresses the nonsurgical and surgical management options and provides guidance for pediatricians on monitoring and when to refer for specialty care.

Keywords: Birth; Brachial plexus; Management; Rehabilitation.

Publication types

Review

MeSH terms

Birth Injuries* / therapy
Brachial Plexus Neuropathies* / diagnosis
Brachial Plexus Neuropathies* / etiology
Brachial Plexus Neuropathies* / therapy
Brachial Plexus* / injuries
Humans
Infant, Newborn
Paralysis