Department of Child Habilitation, Uddevalla, Sweden.
Department of Paediatrics, Institute of Clinical Sciences at the Sahlgrenska Academy, University of Gothenburg, Sweden.
Eur J Paediatr Neurol. 2019 Jan;23(1):87-93. doi: 10.1016/j.ejpn.2018.06.006. Epub 2018 Jun 25.
To assess the long-term outcome and evaluate prognostic factors in obstetric brachial plexus palsy (OBPP).
Of all 114 children with OBPP born in western Sweden in 1999-2001, 98 (61 males, 37 females) were invited to participate. A questionnaire on the symptoms of the OBPP was sent out and those with persisting symptoms were examined in terms of muscle strength, range of motion (ROM), activities of daily living (ADL), pain and sensibility at the age of 10-12 years. Contact was made by 87 children.
The incidence of persisting OBPP at 10-12 years of age was calculated as 19 per 38,749 live births or 0.49 per 1000. Symptoms were reduced muscle strength and ROM in the arm. Eight children reported pain, four had impaired sensibility and ten children described some difficulties in ADL. Muscle strength in forearm supination, shoulder external rotation and elbow flexion at three months of age can be used to predict outcome.
Most children with an OBPP recover completely, but one in five has symptoms of the injury at 10-12 years of age. Muscle strength in the arm at three months of age can be used to predict outcome.
评估产科臂丛神经麻痹（OBPP）的长期预后，并评估其预后因素。
1999-2001 年在瑞典西部出生的所有 114 例 OBPP 患儿中，有 98 例（61 例男性，37 例女性）受邀参加。我们向这些患儿的家长发放了一份关于 OBPP 症状的问卷，对那些仍有症状的患儿，我们在其 10-12 岁时评估其肌肉力量、关节活动度（ROM）、日常生活活动能力（ADL）、疼痛和感觉。有 87 名患儿取得了联系。
10-12 岁时持续性 OBPP 的发生率为每 38749 例活产儿 19 例，或每 1000 例 0.49 例。患儿的手臂有肌肉力量和 ROM 降低的症状。8 名患儿报告有疼痛，4 名患儿感觉受损，10 名患儿描述其 ADL 存在一些困难。3 个月时的前臂旋后、肩外旋和肘屈曲的肌肉力量可用于预测结局。
大多数 OBPP 患儿可完全恢复，但仍有五分之一的患儿在 10-12 岁时有损伤症状。3 个月时手臂的肌肉力量可用于预测结局。
