Gilbert A, Brockman R, Carlioz H
Institut Francais de la Main, Paris, France.
Clin Orthop Relat Res. 1991 Mar(264):39-47.
Brachial plexus birth palsy remains a challenging condition. In the 1000 infants followed from 1977 to 1988, functional results were much improved over those obtained by observation only, if surgical exploration and repair were performed when no clinical recuperation of biceps function occurred by three months of age. Recovery is slow, and comprehensive follow-up study of reconstructed and conservatively managed children is required to prevent joint contractures. Children who will benefit from palliative procedures such as tendon transfers must also be identified.
臂丛神经产瘫仍然是一种具有挑战性的病症。在1977年至1988年随访的1000例婴儿中，如果在三个月大时肱二头肌功能没有临床恢复就进行手术探查和修复，其功能结果比仅通过观察获得的结果有了很大改善。恢复过程缓慢，需要对接受重建手术和保守治疗的儿童进行全面的随访研究，以预防关节挛缩。还必须确定那些将从诸如肌腱转移等姑息性手术中受益的儿童。
