Lädermann Alexandre, Bothorel Hugo, Collin Philippe, Elhassan Bassem, Favard Luc, Bernal Nazira, Raiss Patric, Athwal George S
Division of Orthopaedics and Trauma Surgery, La Tour Hospital, 1217 Meyrin, Switzerland.
Faculty of Medicine, University of Geneva, 1211 Geneva, Switzerland.
J Clin Med. 2021 Mar 12;10(6):1196. doi: 10.3390/jcm10061196.
Several factors associated with B glenoid are also linked with obstetrical brachial plexus palsy (OBPP). The purpose of this observational study was to determine the incidence of OBPP risk factors in type B patients.
A cohort of 154 patients (68% men, 187 shoulders) aged 63 ± 17 years with type B glenoids completed a questionnaire comprising history of perinatal characteristics related to OBPP. A literature review was performed following the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) to estimate the incidence of OBPP risk factors in the general population.
Twenty-seven patients (18%) reported one or more perinatal OBPP risk factors, including shoulder dystocia ( = 4, 2.6%), macrosomia >4 kg ( = 5, 3.2%), breech delivery ( = 6, 3.9%), fetal distress ( = 8, 5.2%), maternal diabetes ( = 2, 1.3%), clavicular fracture ( = 2, 1.3%), and forceps delivery ( = 4, 2.6%). The comparison with the recent literature suggested that most perinatal OBPP risk factors were within the normal range, although the incidence of shoulder dystocia, forceps and vaginal breech deliveries exceeded the average rates.
Perinatal factors related to OBPP did not occur in a higher frequency in patients with Walch type B OA compared to the general population, although some of them were in the high normal range.
与B型肩胛盂相关的几个因素也与产时臂丛神经麻痹（OBPP）有关。本观察性研究的目的是确定B型患者中OBPP危险因素的发生率。
154例年龄63±17岁的B型肩胛盂患者（68%为男性，共187个肩关节）完成了一份包含与OBPP相关的围产期特征病史的问卷。按照系统评价和Meta分析的首选报告项目（PRISMA）进行文献综述，以估计一般人群中OBPP危险因素的发生率。
27例患者（18%）报告了一个或多个围产期OBPP危险因素，包括肩难产（n = 4，2.6%）、巨大儿>4 kg（n = 5，3.2%）、臀位分娩（n = 6，3.9%）、胎儿窘迫（n = 8，5.2%）、母亲糖尿病（n = 2，1.3%）、锁骨骨折（n = 2，1.3%）和产钳分娩（n = 4，2.6%）。与近期文献的比较表明，大多数围产期OBPP危险因素在正常范围内，尽管肩难产、产钳和阴道臀位分娩的发生率超过了平均水平。
与一般人群相比，Walch B型骨关节炎患者中与OBPP相关的围产期因素发生率并未更高，尽管其中一些因素处于正常高值范围。
