جستجوی مقالات مرتبط با کلیدواژه "brachial plexus palsy" در نشریات گروه "پزشکی"

Obstetric brachial plexus injury (OBPI) occurs as a result of excessive stretching of the baby's neck and an increase in cervical and shoulder angle during the second stage of labor. This study aimed to investigate the prevalence, electrophysiological panel, and motor outcome of cervical paralysis in East Azerbaijan province, Iran during 2008-2018.

The total number of deliveries was obtained by census method. The annual relative frequency of OBPI was calculated using the medical records of children with this injury. Then, the electrophysiological findings and Modified Mallet Classification System (MMCS) were extracted.

The prevalence of OBPI during 2008-2018 was 0.026% in East Azerbaijan province. The involved nerve roots were C5 and C6 in 59.6% of cases, C5, C6, and C7 in 28.4% of cases, and wider injuries were observed in 12% following C5 to T1 involvement. No significant association was found between electrophysiological findings and MMCS in children with OBPI (P>0.05).

Due to the sudden increase in OBPI since 2017, it seems necessary to pay special attention and take preventive measures in this regard. Practical Implications. Due to the increasing prevalence of OBPI compared to previous years, it is necessary to take the necessary measures to prevent this injury in vaginal delivery.

We used a database of patients treated at three hospitals to study the primary null hypothesis that thereare no factors associated with unplanned reoperations or adverse events after surgical repair for diaphyseal claviclefracture. Additionally we addressed the following secondary study questions: 1. What is the prevalence of unplannedreoperations or adverse events after surgical repair for diaphyseal clavicle fracture? 2. Is early implant loosening orbreakage after surgical repair for diaphyseal clavicle fracture related to fixation type? 3. Is the type of fixation associatedwith the prevalence of brachial plexus palsy after surgical repair of a diaphyseal clavicle fracture? We retrospectively analyzed 249 adult patients who had surgery for a diaphyseal clavicle fracture todetermine factors associated with unplanned reoperations or adverse events. Thirty-two patients (13%) had at least oneunplanned reoperation or adverse event. Four of 249 patients (1.6%) developed early implant loosening or breakage.Patients that had local implant irritation, planned implant removal, or sensory symptoms thought to be due to nerveirritation were not included in the reported unplanned reoperations or adverse event rate. Only female sex was associated with unplanned reoperations or adverse events after surgery for diaphysealclavicle fracture. No other patient, technical, or injury related factors tested in this study were associated with unplannedreoperations or adverse events. Patients that have surgery for diaphyseal clavicle fracture have an approximately 13% risk of an unplannedsecond surgery or an adverse event. Women can be counseled that they are three times as likely as men to have anunplanned reoperations or adverse event.Level of evidence: III