Root avulsion of brachial plexus in infants and children.

Abstract:

:Twenty-one patients, under 6 years of age, with root avulsion of the brachial plexus were treated from 1975 to 1987. Among them, 9 had root avulsion of the upper trunk, 2 root avulsion of the lower trunk with middle trunk broken, and 10 root avulsion of the whole brachial plexus. Follow-up of 16 patients showed excellent results in 2 patients, good in 11, fair in 1 and poor in 2. It is suggested that good results can be obtained if multi-paired nerve transfer is adopted in treatment. We conclude that owing to anatomical and physiological characteristics of the respiratory system in children, it is harmful to perform phrenic nerve transfer concomitantly with intercostal nerve transfer. Advisably, two-stage operation is required, otherwise dyspnea and pneumonia are liable to occur. In addition, the time of the operation could be extended to 4-5 years after injury in children, but best results are obtained if the operation is performed within 1 year.

journal_name

Chin Med J (Engl)

journal_title

Chinese medical journal

authors

Zhang GM,Gu YD,Chen DS,Yan JG,Cheng XM

subject

Has Abstract

pub_date

1990-05-01 00:00:00

pages

424-7

issue

5

eissn

0366-6999

issn

2542-5641

journal_volume

103

pub_type

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