Database - (CIANE) | |
Description of this bibliographical database (CIANE website) |
https://ciane.net/id=852 | ➡ Modify this record |
Bibliographical entry (without author) : | [Obstetrical injuries of the brachial plexus] [Article in Croatian] Buljina A, Zubcevic S, Catibusic F. |
Author(s) : | Buljina A, Zubcevic S, Catibusic F. |
Year of publication : | 2000 |
URL(s) : | |
Résumé (français) : |
|
Abstract (English) : | Although birth-related brachial plexus injury (BPI) was first described more than two centuries ago, it still represents therapeutic dillemma. Incidence is 0.37-2.0 per 1000 live births. The most frequent etiologic cause is extreme lateral traction and excessive fundal pressure in a case of shoulder dystocia. However, in last decade there are reports that cite of BPIs occurring prior to delivery in up to 46% cases--intrauterine maladaptation. In 1998. and 1999. at the Rehabilitation Department of Pediatric Hospital, Clinical University Center in Sarajevo 32 children with BPI were treated. The incidence is 2.67 per 1000 live births. There were 21 cases of Erb’s palsy (65.63%), 2 cases of Klumpke’s palsy (6.25%). Total plexus palsy was present in 9 children (28.63%), and Horner’s Syndrome in 1 case. In 25.77% of cases (8 children) there was-no evidence of shoulder dystocia at delivery. Treatment of the brachial plexus injuries in newborn is still controversial. Proper immobilization in first 7-15 days is of great importance. In this study 25 children (78.13%), in average age of 4.6 days, were brought for examination with improper immobilization. The role of widely applied electrotherapy is controversial. Complete recovery is expected in about one half, and in this study it was achieved in 75% of cases (24 children). Consensus about timing od surgical approach does not exist still. However, there is strong agreement that decision about eventual surgical treatment should be based on clinical motor testing and that MRI should precede the surgery. Although the electrodiagnostic studies have proven to be of limited prognostic value in the evaluation of children with acute obstetrical brachial plexus injuries, electromyography should be performed prior the surgery in the aim of later comparison of the results. According to our data, at this particular moment in BiH surgical treatment in this age is not available, as well as use of MRI in diagnostics of BPIs. |
Sumário (português) : |
|
Resumen (español) : |
|
Comments : | |
Argument (français) : | Les tractions du bébé ou pressions sur l’utérus excessives peuvent être à l’origine de traumatismes du plexius braxial de l’enfant (centre nerveux des membres supérieurs). |
Argument (English): | |
Argumento (português): |
|
Argumento (español): |
|
Keywords : | |
Author of this record : | Cécile Loup — 26 Jul 2004 |
Discussion (display all languages) | ||
---|---|---|
[Hide guidelines] ➡ Discussion guidelines 1) Comments aim at clarifying the content of the publication or suggesting links for a better comprehension of its topic 2) All comments are public and opinions expressed belong to their authors 3) Avoid casual talk and personal stories 4) Any off-topic comment or containing inappropriate statements will be deleted without notice |
New expert query --- New simple query
Creating new record --- Importing records
User management --- Dump database --- Contact
This database created by Alliance francophone pour l'accouchement respecté (AFAR) is managed
by Collectif interassociatif autour de la naissance (CIANE, https://ciane.net).
It is fed by the voluntary contributions of persons interested in the sharing of scientific data.
If you agree with this project, you can support us in several ways:
(1) contributing to this database if you have a minimum training in documentation
(2) or financially supporting CIANE (see below)
(3) or joining any society affiliated with CIANE.
➡ Sign in or create an account to follow changes or become an editor.
➡ Contact bibli(arobase)ciane.net for more information.
Donating to CIANE (click “Faire un don”) will help us to maintain and develop sites and public databases towards the support of parents and caregivers’ informed decisions with respect to childbirth |