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Journal of Child Neurology
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Outcome Following Nonoperative Treatment of Brachial Plexus Birth Injuries

Patricia DiTaranto, MD

Department of Orthopedics, Hospital Materno Infantil, Mar del Plata, Argentina

Liliana Campagna, OT

Department of Orthopedics, Hospital Materno Infantil, Mar del Plata, Argentina

Andrew E. Price, MD

Brachial Plexus Program, Miami Children's Hospital, Miami, FL

John A. I. Grossman, MD, FACS

Brachial Plexus Program, Miami Children's Hospital, Miami, FL, info{at}handandnervespecialist.com.

Ninety-one infants who sustained a brachial plexus birth injury were treated with only physical and occupational therapy. The children were evaluated at 3-month intervals and followed for a minimum of 2 years. Sixty-three children with an upper or upper-middle plexus injury recovered good to excellent shoulder and hand function. In all of these children, critical marker muscles recovered M4 by 6 months of age. Twelve infants sustained a global palsy, with critical marker muscles remaining at M0—M1 at 6 months, resulting in a useless extremity. Sixteen infants with upper and upper-middle plexus injuries failed to recover greater than M1—M2 deltoid and biceps by 6 months, resulting in a very poor final outcome. These data provide useful guidelines for selection of infants for surgical reconstruction to improve ultimate outcome. (J Child Neurol 2004; 19: 87—90).

Journal of Child Neurology, Vol. 19, No. 2, 87-90 (2004)
DOI: 10.1177/08830738040190020101
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