Browsing by Subject "Brachial plexus"

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    Factors associated with neonatal brachial palsy in shoulder dystocia: a longitudinal study
    (Via Medica Journals, 2025-02-01) Arense Gonzalo, Julián Jesús; Adoamnei, Evdochia; Nieto Díaz, Anibal; Sánchez Ferrer, María Luisa; Sánchez-Romero, Javier; Jiménez-Méndez, Almudena; Díaz-Meca, Lucía Begoña; Guijarro Campillo, Alberto Rafael; Ciencias Sociosanitarias; Enfermería; Facultad de Medicina; Facultad de Enfermería
    Objectives: The main goal is to analyze factors related to brachial plexus injury (BPI) after shoulder dystocia (SD). Material and methods: Longitudinal prospective analysis of SD arose in a tertiary hospital from 1/1st/ 2019 to 12/31st//2020. A multivariable logistic regression for BPI after SD and a survival analysis for BPI recovery after SD were performed. Results: In this period 13,414 deliveries were attended, 10,676 of those were vaginal deliveries (79.6%) reporting 69 cases of SD, with an incidence of 0.65%. SD required 102.1 seconds (SD) 10.8) as an average for solving it. Internal maneuvers were needed in 42.0% of SD reported. Neonatal BPI was suspected in 23 newborns (33.3%) at birth. Neonatal BPI at 48 hours of life was statistically associated with maternal BMI above 30 kg/m2 (OR = 7.91; CI 95% 1.3–47.7; p = 0.024), > 120 seconds for solving SD (OR = 14.4; CI 95% 1.7–121.82; p = 0.014) and operative delivery (OR = 6.8; CI 95% 1.2–37.6; p = 0.028). The BPI recovery was statistically associated with clavicle fracture (HR = 0.31 CI 95% 0.10–0.96 p = 0.042) and specific rehabilitation treatment (HR = 9.2 CI 95% 1.87–45.23 p = 0.006). Conclusions: The following factors were associated with neonatal BPI at 48 hours of life: maternal BMI above 30 kg/m2, operative delivery, or shoulder dystocia that requires more than 120 seconds for solving it. The BPI recovery was associ ated with clavicle fracture and specific rehabilitation treatment.
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    Transfer of the nerve to the brachioradialis muscle to the anterior interosseous nerve for treatment for lower brachial plexus lesions: case report
    (Elsevier, 2011-03-01) García-López, Antonio; Sebastián, Pablo; Perea, David; Martínez Martínez, Francisco; Cirugía, Pediatría y Obstetricia y Ginecología
    In lower lesions of the brachial plexus (C8–T1) there is good function of the shoulder, elbow, and wrist, although that of the hand is impaired. Reconstruction of finger flexion is generally obtained by tendon transfer. We present a case report involving transfer of the motor nerve branch of the brachioradialis muscle to the anterior interosseous nerve to restore finger flexion in acute lower brachial plexus lesion.