Yoshida Kiyoshi, Kawabata Hidehiko
1 Department of Orthopaedic Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
2 Department of Orthopaedic Surgery, Osaka Rehabilitation Hospital for Children, Osaka, Japan.
J Hand Surg Eur Vol. 2018 Jul;43(6):609-612. doi: 10.1177/1753193418774265. Epub 2018 May 10.
We investigated the prognostic value of concurrent Horner syndrome for predicting spontaneous motor recovery in surgical decision making at 3 months with neonatal brachial plexus palsy. Medical records of 129 neonates with total-type brachial plexus palsy were reviewed, and clinical and follow-up data of patients with or without Horner syndrome were compared. Twenty-seven of 129 newborn babies with total-type palsy (21%) had concurrent Horner syndrome. Poor spontaneous motor recovery was observed in 21 (78%) neonates with concurrent Horner syndrome and in 84 (82%) without concurrent Horner syndrome. Concurrent Horner syndrome in neonates with brachial plexus palsy has no prognostic value in predicting poor spontaneous motor recovery of the brachial plexus in patients with total-type palsy.
III.
我们研究了新生儿臂丛神经麻痹患者并发霍纳综合征对于预测3个月手术决策时自发运动恢复的预后价值。回顾了129例全臂丛神经麻痹新生儿的病历，并比较了有或无霍纳综合征患者的临床和随访数据。129例全臂丛神经麻痹新生儿中有27例（21%）并发霍纳综合征。并发霍纳综合征的21例（78%）新生儿和未并发霍纳综合征的84例（82%）新生儿出现了较差的自发运动恢复。臂丛神经麻痹新生儿并发霍纳综合征对于预测全臂丛神经麻痹患者较差的自发运动恢复没有预后价值。
III级。
