Raducha Jeremy E, Cohen Brian, Blood Travis, Katarincic Julia
Department of Orthopaedic Surgery, Warren Alpert Medical School of Brown University, Providence, RI.
R I Med J (2013). 2017 Nov 1;100(11):17-21.
Brachial plexus injuries during the birthing process can leave infants with upper extremity deficits corresponding to the location of the lesion within the complex plexus anatomy. Manifestations can range from mild injuries with complete resolution to severe and permanent disability. Overall, patients have a high rate of spontaneous recovery (66-92%).1,2 Initially, all lesions are managed with passive range motion and observation. Prevention and/or correction of contractures with occupational therapy and serial splinting/casting along with encouraging normal development are the main goals of non-operative treatment. Surgical intervention may be war- ranted, depending on functional recovery. [Full article available at http://rimed.org/rimedicaljournal-2017-11.asp].
分娩过程中的臂丛神经损伤可使婴儿出现与复杂臂丛神经解剖结构中病变位置相对应的上肢功能缺陷。其表现范围从可完全恢复的轻度损伤到严重的永久性残疾。总体而言，患者的自发恢复率较高（66%-92%）。1,2 最初，所有损伤均采用被动关节活动度训练和观察进行处理。通过职业治疗和连续夹板固定/石膏固定预防和/或纠正挛缩，同时鼓励正常发育，是非手术治疗的主要目标。根据功能恢复情况，可能需要进行手术干预。[全文可在http://rimed.org/rimedicaljournal-2017-11.asp获取]
