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Brachial Plexus Injury
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Mod Quad Surgery
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Brachial Plexus Forum

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Resources

  • Before and After TT
  • Bony Improvement - Before and After - Mod-Quad and TT

Injury Causes

In our clinic, we see over 1,500 children visits each year. The vast majority of our children do have one or more classical risk factors for obstetric injury in their history.

The prognosis depends on the severity of injury, and the level of injury. In our experience, early surgery in appropriate patients results in better outcomes.

The matter becomes critical because in 12 to 18 months following injury, denervated muscles will not accept a new nerve supply, and remain paralyzed or weak permanently. Because nerves only grow back at one inch per month, time is of the essence in managing these and any other nerve injuries.

A commonly held belief is that 85 to 90% of these injuries recover completely.In our experience of 15 years and several thousand patients, this is not accurate, and although the actual number of patients who recover 100% function in a few days or weeks is unknown, it is our firm belief that the presence of any disability at 3 months following birth injury requires evaluation by a surgical specialist.

This does not imply that all of these patients require surgery, but that surgical specialists who deal with obstetric palsy routinely should be involved relatively early so that the time clock of muscle atrophy is managed appropriately. It is also important to include a surgical specialist in your consultation group because many non-surgical physicians are simply unaware of the benefits and new techniques available for functional restoration.

Because the overall spectrum of injury is so diverse, and because
experience dictates specific management for each child,
consultation with a specialist is critical to maximize outcome.

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PHYSICIAN AND
  THERAPIST’S ONLINE
  REFERRAL SYSTEM

For therapists,doctors
and other health care
providers who wish to
reffer patients for
evaluation and/or treatment.

 


Brachial Plexus Art
  Gallery

A Gallery of images
showing the human side
of the injury, and
giving sense of hope
for the future.

 

Association of BPI Therapists

The Association of
Brachial Plexus Therapists
would like to provide
a means for therapists..
- Read More

 

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