Caron Elena, Gienapp Andrew J, Files Helen, Ridley-Pryor Tracee
Neuroscience Institute, Le Bonheur Children's Hospital, Memphis, TN, USA.
University of Tennessee Le Bonheur Pediatric Specialists, Memphis, TN, USA.
Clin Pediatr (Phila). 2023 Dec;62(12):1489-1496. doi: 10.1177/00099228231163698. Epub 2023 Mar 25.
Infants can sustain traction injury to brachial plexus nerves during birth, called brachial plexus birth injury (BPBI). While spontaneous recovery is possible, upper extremity weakness can linger. We report our experience at a brachial plexus clinic from a retrospective chart review of infants with BPBI from September 2017 to September 2019. We determined Narakas Classification (NC) and Active Movement Scale (AMS) at predetermined follow-up points. Of 15 patients, 8 presented with NC-I, 5 with NC-II, and 2 with NC-III without Horner's syndrome. By 7 months, 3 had spontaneous recovery, and 4 achieved all and another 4 achieved most AMS5-7 scores. Eleven patients undergoing surgery had little-to-no improvement of and AMS categories by 6 months. Our small sample size prevents us from making definitive conclusions but gave beneficial insight into our clinic barriers to follow-up, data collection, and collaboration with physical and occupational therapy.
婴儿在出生时可发生臂丛神经牵拉伤，称为臂丛神经产伤（BPBI）。虽然有可能自发恢复，但上肢无力可能会持续存在。我们通过对2017年9月至2019年9月期间患有BPBI的婴儿进行回顾性病历审查，报告了我们在臂丛神经诊所的经验。我们在预定的随访点确定了纳拉卡斯分类（NC）和主动运动量表（AMS）。15例患者中，8例为NC-I型，5例为NC-II型，2例为NC-III型且无霍纳综合征。到7个月时，3例自发恢复，4例达到所有AMS5-7评分，另有4例达到大多数AMS5-7评分。11例接受手术的患者在6个月时AMS类别几乎没有改善。我们的样本量较小，无法得出明确结论，但为我们诊所的随访障碍、数据收集以及与物理治疗和职业治疗的合作提供了有益的见解。
