A Multidisciplinary Approach to Brachial Plexus Birth Injury: An Overview and Institutional Experience.

IF 2.3 3区 医学 Q2 SURGERY
Seminars in Plastic Surgery Pub Date : 2025-05-21 eCollection Date: 2025-05-01 DOI:10.1055/s-0045-1808270
Winston R Owens, Vamsi C Mohan, Diego M Quirarte, John D Bovill, Gabrielle T Nguyen, James H Northcutt Ii, Jenny Lee Nguyen, William C Pederson
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引用次数: 0

Abstract

Without early diagnosis and intervention, brachial plexus birth injuries (BPBIs) can result in permanent upper extremity debilitation. Previously, BPBI was treated by single-specialty surgeons; however, given the complexity of the injury, BPBIs necessitate multidisciplinary team care. Common specialists involved within brachial plexus injury clinics include radiologists, physical medicine and rehabilitation physicians, occupational therapists, nerve surgeons, and shoulder surgeons. Care plans are meticulously designed by all team members, and depending on injury severity and clinical course, patients may undergo treatment including range-of-motion exercises, splinting, botulinum toxin injections, nerve surgery, or shoulder surgery. The objective of this article is to highlight and discuss key providers within BPBI clinics and describe the BPBI experience here at Texas Children's Hospital.

臂丛出生损伤的多学科方法:综述和机构经验。
如果没有早期诊断和干预,臂丛出生损伤(BPBIs)可能导致永久性上肢衰弱。以前,BPBI由单一专业的外科医生治疗;然而,由于损伤的复杂性,BPBIs需要多学科的团队护理。臂丛神经损伤诊所的常见专家包括放射科医生、物理医学和康复医生、职业治疗师、神经外科医生和肩部外科医生。护理计划由所有团队成员精心设计,根据损伤严重程度和临床病程,患者可能接受包括活动范围练习、夹板、肉毒杆菌毒素注射、神经手术或肩部手术在内的治疗。本文的目的是强调和讨论BPBI诊所中的主要提供者,并描述德克萨斯儿童医院的BPBI经验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.10
自引率
5.00%
发文量
27
期刊介绍: Seminars in Plastic Surgery is a quarterly review journal that publishes topic-specific issues covering all areas of aesthetic and reconstructive plastic surgery. The journal''s scope includes issues devoted to breast reconstruction, rhinoplasty, lipogenesis and lipoplasty, craniomaxillofacial trauma, and all other major plastic surgery procedures. The journal also covers such emerging areas as free tissue transfer, lasers, endoscopic facial plastic procedures, as well as all the related technologies associated with these techniques.
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