The Hand Clinic, Rabindranath Tagore Caddesi, Ankara, Turkey.
Department of Neurosurgery/Leiden Nerve Center, Leiden University Medical Center, Leiden, The Netherlands.
J Hand Surg Eur Vol. 2024 Jun;49(6):747-757. doi: 10.1177/17531934241231173. Epub 2024 Feb 16.
While there is considerable spontaneous recovery in most cases of brachial plexus birth injury, many children are left with significant problems that may lead to lifelong functional limitations, loss of work and social isolation. Detailed treatment with the right strategy can provide very valuable improvement in function. Over the past few years, the clinical approach to brachial plexus birth palsy has entered a new era in both diagnostic and surgical treatment methods. This article reviews four areas of management, the role of imaging in defining the severity of the injury, the optimal timing of for nerve exploration and reconstruction in appropriate cases, the advantages and potential complications of nerve transfers, and the role of physiotherapy. Available evidence is considered. Although it is difficult to make clear and precise inferences on a subject where there are many variables and considerable uncertainties, some currently accepted views will be summarized. V.
虽然大多数臂丛神经出生损伤病例有相当大的自发恢复，但许多儿童仍存在严重问题，可能导致终身功能受限、丧失工作能力和社会孤立。通过正确的治疗策略进行详细治疗，可以提供非常有价值的功能改善。在过去的几年中，臂丛神经产伤的临床治疗方法在诊断和手术治疗方法上都进入了一个新时代。本文综述了四个管理领域，即影像学在确定损伤严重程度中的作用、在适当病例中进行神经探查和重建的最佳时机、神经转移的优势和潜在并发症，以及物理治疗的作用。考虑了现有证据。尽管在存在许多变量和相当大的不确定性的情况下，很难对一个主题做出明确和精确的推断，但将总结一些目前被接受的观点。五。
