Amanda Azer BA , Aedan Hanna MBS , Dhvani Shihora BS , Anthony Saad BA , Yajie Duan BS , Aleksandra McGrath MD , Alice Chu MD
{"title":"新生儿臂丛神经麻痹的前臂和肘部二次手术：系统性范围界定综述","authors":"Amanda Azer BA , Aedan Hanna MBS , Dhvani Shihora BS , Anthony Saad BA , Yajie Duan BS , Aleksandra McGrath MD , Alice Chu MD","doi":"10.1016/j.xrrt.2023.10.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><p>Neonatal Brachial plexus palsy is an injury during delivery that can lead to loss of motor function and limited range of motion in patients due to damage of nerves in the brachial plexus. This scoping review aims to explore types of procedures performed and assess outcomes of forearm and elbow secondary surgery in pediatric patients.</p></div><div><h3>Methods</h3><p>Searches of PubMed, Cochrane, Cumulative Index to Nursing and Allied Health Literature, Web of Sciences, and Scopus were completed to obtain studies describing surgical treatment of elbow and forearm in pediatric patients with neonatal Brachial plexus palsy. 865 abstracts and titles were screened by two independent reviewers resulting in 295 full text papers; after applying of inclusion and exclusion criteria 18 articles were included. The level of evidence of this study is level IV.</p></div><div><h3>Results</h3><p>Ten main procedures were performed to regain function of the forearm and elbow in neonatal brachial plexus birth palsy patients. Procedures had different aims, with supination contracture (6) and elbow flexion restoration (5) being the most prevalent. The variance between preoperative and postoperative soft tissue and bony procedures outcomes decreased and showed improvement with respect to the aim of each procedure category. For soft tissue procedures, a statistically significant increase was found between preoperative and postoperative values for active elbow flexion, passive supination, and active supination. For bony procedures, there was a statistically significant decrease between preoperative and postoperative values of passive and active supination.</p></div><div><h3>Conclusion</h3><p>Overall, all procedures completed in the assessed articles of this study were successful in their aim. Bony procedures, specifically osteotomies, were found to have a wider range of results, whereas soft tissue procedures were found to be more consistent and reproducible with respect to their outcomes. Bony and soft tissue procedures were found vary in their aims and outcomes. This study indicates the need for further research to augment knowledge about indications and long-term benefits to each procedure.</p></div>","PeriodicalId":74030,"journal":{"name":"JSES reviews, reports, and techniques","volume":"4 1","pages":"Pages 61-69"},"PeriodicalIF":0.0000,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666639123001049/pdfft?md5=423e06b4f0568319db957b799f9d9ff8&pid=1-s2.0-S2666639123001049-main.pdf","citationCount":"0","resultStr":"{\"title\":\"Forearm and elbow secondary surgical procedures in neonatal brachial plexus palsy: a systematic scoping review\",\"authors\":\"Amanda Azer BA , Aedan Hanna MBS , Dhvani Shihora BS , Anthony Saad BA , Yajie Duan BS , Aleksandra McGrath MD , Alice Chu MD\",\"doi\":\"10.1016/j.xrrt.2023.10.003\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><p>Neonatal Brachial plexus palsy is an injury during delivery that can lead to loss of motor function and limited range of motion in patients due to damage of nerves in the brachial plexus. This scoping review aims to explore types of procedures performed and assess outcomes of forearm and elbow secondary surgery in pediatric patients.</p></div><div><h3>Methods</h3><p>Searches of PubMed, Cochrane, Cumulative Index to Nursing and Allied Health Literature, Web of Sciences, and Scopus were completed to obtain studies describing surgical treatment of elbow and forearm in pediatric patients with neonatal Brachial plexus palsy. 865 abstracts and titles were screened by two independent reviewers resulting in 295 full text papers; after applying of inclusion and exclusion criteria 18 articles were included. The level of evidence of this study is level IV.</p></div><div><h3>Results</h3><p>Ten main procedures were performed to regain function of the forearm and elbow in neonatal brachial plexus birth palsy patients. Procedures had different aims, with supination contracture (6) and elbow flexion restoration (5) being the most prevalent. The variance between preoperative and postoperative soft tissue and bony procedures outcomes decreased and showed improvement with respect to the aim of each procedure category. For soft tissue procedures, a statistically significant increase was found between preoperative and postoperative values for active elbow flexion, passive supination, and active supination. For bony procedures, there was a statistically significant decrease between preoperative and postoperative values of passive and active supination.</p></div><div><h3>Conclusion</h3><p>Overall, all procedures completed in the assessed articles of this study were successful in their aim. Bony procedures, specifically osteotomies, were found to have a wider range of results, whereas soft tissue procedures were found to be more consistent and reproducible with respect to their outcomes. Bony and soft tissue procedures were found vary in their aims and outcomes. This study indicates the need for further research to augment knowledge about indications and long-term benefits to each procedure.</p></div>\",\"PeriodicalId\":74030,\"journal\":{\"name\":\"JSES reviews, reports, and techniques\",\"volume\":\"4 1\",\"pages\":\"Pages 61-69\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.sciencedirect.com/science/article/pii/S2666639123001049/pdfft?md5=423e06b4f0568319db957b799f9d9ff8&pid=1-s2.0-S2666639123001049-main.pdf\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"JSES reviews, reports, and techniques\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2666639123001049\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"JSES reviews, reports, and techniques","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2666639123001049","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
摘要
背景新生儿臂丛神经麻痹是一种分娩过程中的损伤，由于臂丛神经受损，可导致患者丧失运动功能和活动范围受限。本范围综述旨在探讨儿科患者前臂和肘部二次手术的手术类型并评估其结果。方法检索PubMed、Cochrane、Cumulative Index to Nursing and Allied Health Literature、Web of Sciences和Scopus，以获得描述新生儿臂丛神经麻痹儿科患者肘部和前臂手术治疗的研究。两名独立审稿人对 865 篇摘要和标题进行了筛选，最终得出 295 篇全文论文；在应用纳入和排除标准后，18 篇文章被纳入其中。本研究的证据级别为IV级。结果为恢复新生儿臂丛神经出生麻痹患者的前臂和肘部功能，主要进行了十种手术。手术的目的各不相同，其中上举挛缩（6 例）和肘关节屈曲恢复（5 例）最为普遍。术前和术后软组织和骨性手术结果之间的差异有所下降，并随着各类手术目的的不同而有所改善。就软组织手术而言，术前和术后的主动肘关节屈曲、被动上举和主动上举值在统计学上有显著增加。结论总体而言，本研究中所有接受评估的文章所完成的手术都成功地达到了目的。骨性手术，特别是截骨术，结果范围更广，而软组织手术的结果更一致，可重复性更高。研究发现，骨骼和软组织手术的目的和结果各不相同。这项研究表明，有必要开展进一步研究，以增加对每种手术的适应症和长期益处的了解。
Forearm and elbow secondary surgical procedures in neonatal brachial plexus palsy: a systematic scoping review
Background
Neonatal Brachial plexus palsy is an injury during delivery that can lead to loss of motor function and limited range of motion in patients due to damage of nerves in the brachial plexus. This scoping review aims to explore types of procedures performed and assess outcomes of forearm and elbow secondary surgery in pediatric patients.
Methods
Searches of PubMed, Cochrane, Cumulative Index to Nursing and Allied Health Literature, Web of Sciences, and Scopus were completed to obtain studies describing surgical treatment of elbow and forearm in pediatric patients with neonatal Brachial plexus palsy. 865 abstracts and titles were screened by two independent reviewers resulting in 295 full text papers; after applying of inclusion and exclusion criteria 18 articles were included. The level of evidence of this study is level IV.
Results
Ten main procedures were performed to regain function of the forearm and elbow in neonatal brachial plexus birth palsy patients. Procedures had different aims, with supination contracture (6) and elbow flexion restoration (5) being the most prevalent. The variance between preoperative and postoperative soft tissue and bony procedures outcomes decreased and showed improvement with respect to the aim of each procedure category. For soft tissue procedures, a statistically significant increase was found between preoperative and postoperative values for active elbow flexion, passive supination, and active supination. For bony procedures, there was a statistically significant decrease between preoperative and postoperative values of passive and active supination.
Conclusion
Overall, all procedures completed in the assessed articles of this study were successful in their aim. Bony procedures, specifically osteotomies, were found to have a wider range of results, whereas soft tissue procedures were found to be more consistent and reproducible with respect to their outcomes. Bony and soft tissue procedures were found vary in their aims and outcomes. This study indicates the need for further research to augment knowledge about indications and long-term benefits to each procedure.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
