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  • Title: Remote therapeutic effect of early nerve transposition in treatment of obstetrical brachial plexus palsy.
    Author: Xu J, Cheng X, Dong Z, Gu Y.
    Journal: Chin J Traumatol; 2001 Feb; 4(1):40-3. PubMed ID: 11835708.
    Abstract:
    OBJECTIVE: To report a method and remote therapeutic effect of early nerve transposition in treatment of obstetrical brachial plexus palsy. METHODS: From May 1995 to August 1996, 12 patients who had no recovery of biceps 3 months after birth were treated with nerve transposition. Eight had neuroma at the upper trunk and 4 had rupture or avulsion of the upper trunk. Mallet test was used to evaluate the results. RESULTS: The follow-up of 40-52 months showed that excellent and good recovery in functions was found in 75% of the patients and the excellent rate of phrenic nerve and accessory nerve transposition was 83.3% and 6 6.7% respectively. A complete recovery in shoulder and elbow joint function was in 3 patients and Mallet IV was in 6 patients. CONCLUSIONS: Satisfactory outcome can be obtained by using early nerve transposition in treating obstetrical brachial plexus.
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