Brachial plexus palsy: An in utero injury? - 08/09/11
Abstract |
Acquired brachial plexus injury historically has been linked with excessive lateral traction applied to the fetal head, usually in association with shoulder dystocia. Recent reports in the obstetric literature, however, have suggested that in utero forces may underlie a significant portion of these injuries. Brachial plexus palsies may therefore precede the delivery itself and may occur independent of the actions of the accoucheur. Thus we propose that the long-held notions of a traction-mediated pathophysiologic mechanism for all brachial plexus injuries warrant critical reappraisal. (Am J Obstet Gynecol 1999;180:1303-7.)
Le texte complet de cet article est disponible en PDF.Keywords : Brachial plexus injury, shoulder dystocia, delivery
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The views expressed in this article are those of the authors and do not reflect the official policy or position of the Department of the Navy, the Department of Defense, or the United States Government. |
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Reprint requests: Robert B. Gherman, MD, Department of Obstetrics and Gynecology, Division of Maternal-Fetal Medicine, Portsmouth Naval Hospital, 620 John Paul Jones Cir, Portsmouth, VA 23708. |
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6/1/97476 |
Vol 180 - N° 5
P. 1303-1307 - mai 1999 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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