The function of the hand after operations for obstetric injuries to the brachial plexus. 2008

M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
Department of Orthopaedics and Traumatology, Helsinki University Central Hospital, Finland. mikko.kirjavainen@welho.com

Hand function was evaluated in 105 patients who had been operated on in early infancy for brachial plexus birth palsy. The mean follow-up after surgery was for 13.4 years (5.0 to 31.5). Fine sensation, stereognosis, grip and pinch strength and the Raimondi scale were recorded. Fine sensation was normal in 34 of 49 patients (69%) with C5-6 injury, 15 of 31 (48%) with C5-7 and in 8 of 25 (32%) with total injury. Loss of protective sensation or absent sensation was noted in some palmar areas of the hand in 12 of 105 patients (11%). Normal stereognosis was recorded in 88 of the 105 patients (84%), whereas only 9 of the 105 (9%) had normal grip strength. The mean Raimondi scale scores were 4.57 (3 to 5) (C5-6), 4.26 (1 to 5) (C5-7) and 2.16 (0 to 5) in patients with total injury. The location of impaired sensation was related to the distribution of the root injury. Avulsion type of injury correlated with poor recovery of hand function.

UI MeSH Term Description Entries
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D008297 Male Males
D008866 Microsurgery The performance of surgical procedures with the aid of a microscope.
D011843 Radiculopathy Disease involving a spinal nerve root (see SPINAL NERVE ROOTS) which may result from compression related to INTERVERTEBRAL DISK DISPLACEMENT; SPINAL CORD INJURIES; SPINAL DISEASES; and other conditions. Clinical manifestations include radicular pain, weakness, and sensory loss referable to structures innervated by the involved nerve root. Nerve Root Avulsion,Nerve Root Compression,Nerve Root Disorder,Radiculitis,Nerve Root Inflammation,Radiculopathy, Cervical,Avulsion, Nerve Root,Avulsions, Nerve Root,Cervical Radiculopathies,Cervical Radiculopathy,Compression, Nerve Root,Compressions, Nerve Root,Inflammation, Nerve Root,Nerve Root Avulsions,Nerve Root Compressions,Nerve Root Disorders,Nerve Root Inflammations,Radiculitides,Radiculopathies,Radiculopathies, Cervical
D001720 Birth Injuries Mechanical or anoxic trauma incurred by the infant during labor or delivery. Injuries, Birth,Birth Injury,Injury, Birth
D001917 Brachial Plexus The large network of nerve fibers which distributes the innervation of the upper extremity. The brachial plexus extends from the neck into the axilla. In humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (C5-C8 and T1), but variations are not uncommon. Plexus, Brachial
D005260 Female Females
D005500 Follow-Up Studies Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease. Followup Studies,Follow Up Studies,Follow-Up Study,Followup Study,Studies, Follow-Up,Studies, Followup,Study, Follow-Up,Study, Followup
D006225 Hand The distal part of the arm beyond the wrist in humans and primates, that includes the palm, fingers, and thumb. Hands

Related Publications

M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
November 2004, Scottish medical journal,
M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
January 2009, Neurosurgery clinics of North America,
M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
August 1988, The Journal of bone and joint surgery. British volume,
M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
August 2022, Hand clinics,
M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
October 1995, British journal of obstetrics and gynaecology,
M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
January 1998, The Journal of bone and joint surgery. British volume,
M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
November 1995, Hand clinics,
M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
January 1999, Zeitschrift fur Orthopadie und ihre Grenzgebiete,
M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
July 1997, The Journal of the American Academy of Orthopaedic Surgeons,
M Kirjavainen, and V Remes, and J Peltonen, and S Rautakorpi, and I Helenius, and Y Nietosvaara
August 2001, The Journal of bone and joint surgery. British volume,
Copied contents to your clipboard!