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Brachial Plexus Birth Injury

1991; Lippincott Williams & Wilkins; Volume: 23; Issue: 6 Linguagem: Inglês

10.1097/01376517-199112000-00006

1945-2810

Janet M. Brucker, John P. Laurent, Rita Lee, Saleh M. Shenaq, Julie T. Parke, Itzel Solis, William Cheek,

Nerve Injury and Rehabilitation

Brachial plexus birth injuries occur at a frequency of 1–2 per 1000 births. Many of these injuries spontaneously resolve. Should spontaneous recovery not occur within the first 4–6 months of life, the prognosis for attaining movement and function of the affected appendage is significantly impaired. The child demonstrates a lifelong disfiguring and functional handicap. With advances in technology, diagnosis and microsurgical techniques, surgical exploration of the brachial plexus has been revived. A multidisciplinary approach has provided dynamic results. At present only one institution in the United States utilizes this innovative protocol. This article addresses the collaborative perioperative nursing implications for a child with brachial plexus birth injury.