Management of Brachial Plexus Birth Injuries: Erbs and Extended Erbs Palsy

Chris Stutz

doi:10.1007/978-3-030-69517-0_51

Management of Brachial Plexus Birth Injuries: Erbs and Extended Erbs Palsy

Chris Stutz

Research output: Chapter in Book/Report/Conference proceeding › Chapter

1 Scopus citations

Abstract

Currently, there is no clear consensus on the surgical treatment of the nerve injury in infants with Erb’s palsy (C5–C6) and extended Erb’s palsy (C5–C7) who fail to attain adequate spontaneous recovery. Surgical timing and technique both remain a topic of significant debate. Neurolysis, neuroma excision and nerve grafting, and nerve transfer techniques have all been supported as viable treatment options for the nerve injury that fails to recover spontaneously. Neuroma excision and nerve grafting arguably remain the gold standard, but nerve transfers have significantly changed the classic treatment algorithms for these patients. In addition, the early treatment of glenohumeral dysplasia has further complicated the decision-making in regard to surgical timing and technique.

Original language	English (US)
Title of host publication	Operative Brachial Plexus Surgery
Subtitle of host publication	Clinical Evaluation and Management Strategies
Publisher	Springer International Publishing
Pages	583-590
Number of pages	8
ISBN (Electronic)	9783030695170
ISBN (Print)	9783030695163
DOIs	https://doi.org/10.1007/978-3-030-69517-0_51
State	Published - Jan 1 2021
Externally published	Yes

Keywords

Brachial plexus
Erb’s palsy
Extended Erb’s palsy
Glenohumeral dysplasia
Microsurgery

ASJC Scopus subject areas

General Medicine
General Social Sciences

Access to Document

10.1007/978-3-030-69517-0_51

Cite this

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abstract = "Currently, there is no clear consensus on the surgical treatment of the nerve injury in infants with Erb{\textquoteright}s palsy (C5–C6) and extended Erb{\textquoteright}s palsy (C5–C7) who fail to attain adequate spontaneous recovery. Surgical timing and technique both remain a topic of significant debate. Neurolysis, neuroma excision and nerve grafting, and nerve transfer techniques have all been supported as viable treatment options for the nerve injury that fails to recover spontaneously. Neuroma excision and nerve grafting arguably remain the gold standard, but nerve transfers have significantly changed the classic treatment algorithms for these patients. In addition, the early treatment of glenohumeral dysplasia has further complicated the decision-making in regard to surgical timing and technique.",

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Management of Brachial Plexus Birth Injuries: Erbs and Extended Erbs Palsy

Abstract

Keywords

ASJC Scopus subject areas

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