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1520 Functional Prognosis in Obstetrical Brachial Plexus Palsy
  1. V Toopchizadeh1,
  2. M Barzegar2
  1. 1Physical Medicine and Rehabilitation, Tabriz Children Hospital Physical Mediane and Rehabilitation Research Ceter, Tabriz Median Sciences University
  2. 2Pediatrics, Tabriz Children Hospital, Tabriz, Iran

Abstract

Obstetrical brachial plexus palsy (OBPP) is a complication of difficult delivery and resulted from excessive traction on the brachial plexus during delivery. Erb palsy, klumpke paralysis and panplexus palsy reported in 46%, 0.6% and 20% of patients, respectively. Unilateral injury is more common than bilateral injury. Risk factors include macrosomia, multiparity, prior delivery of a child with OBPP, breech delivery shoulder dystocia, vacium and forceps assisted delivery and excessive maternal weight gain. The recovery rate is usually reported to be between 80 and 90%. Management based on medical and surgical interventions. We evaluated 42 children with OBPP. Of them, we could follow only 28 cases during two years. Most of the patients were females. Right side palsy was more prevalent than left side palsy. Vaginal delivery without forceps was the most mode of delivery. Vertex was the most common presentation. Most of the patients were term. The mean weight of the birth was 3.8 kg. Erb palsy and pan-plexus palsy consisted of 71.4% and 28.6% of lesions, Poor to moderate recovery occurred in 13 cases. good to complete (expected) recovery occurred in 15 cases.

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