We present our personal operative technique in exposing and repairing obstetric brachial plexus (obp) lesions. This technical description of the operative procedure and the strategic choice for the neurotisations are analysed with special regards on the follow-up of these patients (always performed by the surgeon), the histological quality of the proximal root stumps used for cable grafting, and the general ... إقراء المزيد

The superficial location of tendon, nerve, and vessel in the volar wrist puts these structures in jeopardy with any penetrating injury. The more extensive of these injuries have been referred to commonly as spaghetti wrist injury1,2 (Fig. 1). One tendon laceration or even two may have little disabling importance. However, complete transaction of either median or ulnar nerve is crippling, ... إقراء المزيد

Supracondylar fractures of the humerus are common and accounts for 60% of all fractures of the elbow in children. More than 95% of all supracondylar fractures are displaced in extension either in a posteromedial or posterolateral direction.1,2 Rarely anterior displacement of the distal humeral fragment results from flexion forces created by a fall directly on the olecranon.3,4 Clinical evaluation of ... إقراء المزيد

We present a personal experience with 750 children suffering from obstetrical brachial plexus palsy. The related surgery is described, including early microsurgical nerve reconstruction and secondary procedures including tendon and muscle transfers. The clinical examination, indications and timing for surgery, technical details of primary and secondary operations and the possible outcome are discussed. Both clinical and research work need an ... إقراء المزيد

ABSTRACT We present 7 children with obstetric brachial plexus palsy treated by transferring two motor fascicles out of the ulnar nerve to the biceps nerve. Three were male, and 4 were female. The left‐side brachial plexus was affected in 4 patients, and the right side in 3 patients. All children had vaginal delivery; two of them presented with shoulder dystocia. ... إقراء المزيد

Obstetric brachial plexus palsy affects one in 2000 newborns; 10 percent of them need early or secondary surgical reconstruction. In direct plexus repair, the sensory and motor reanimation of the hand is the main goal, followed by elbow flexion and shoulder stability and motion. The shoulder is under the control of many muscles and, mainly, three nerves: the axillary nerve ... إقراء المزيد

Introduction: A medial rotation position and then contracture of the glenohumeral joint is frequent in children suffering severe THE JOURNAL OF HAND SURGERY VOL. 28B SUPPLEMENT 1 Conclusion: The medial rotation contracture of the shoulder in these children is a complex progressive deformity, which requires a selective and stepwise approach. So far, we have preferred early correction by dynamic soft ... إقراء المزيد

EARLY MICROSURGICAL RECONSTRUCTION IN OBSTETRICAL BRACHIAL PLEXUS INJURIES تكون الجهاز العصبى للانسان من جزئين رئيسيين وجزء مركزى وهو بداخل الجمجمة وجزء طرفى وهو بداخل العمود الفقرى و هو ما يعرف بالحبل الشوكى يخرج من الحبل الشوكى مجموعة من الاعصاب و التى تتجمع عند كل منطقة لتكون مجموعة عصبية إقراء المزيد

We present the case of a 9‐year‐old male patient who suffered a gunshot injury to the right arm. The patient arrived in shock, his right arm severely traumatized, with soft‐tissue loss involving the anterior surface and both sides of the right arm. The humerus was exposed. There was brachial artery defect and damage to the lateral fibers of the median ... إقراء المزيد

NERVE GRAFTING ان عملية ترقيع الاعصاب قد حلت كثيرا من المشاكل التى تواجه الجراحين خاصة اذا كان هناك جزء مفقود من العصب ان هناك طرق عديدة للتغلب على الجزء المفقود من العصب وتوصيلة طرف مع طرف مثل تسليك العصب وتغيير مسار العصب وضع المفصل الذى يمر به العصب فى وضع يزيد من طوله وتقصير فى العظم ولكن كل هذة الطرق ... إقراء المزيد