Brachial Plexus Birth Palsy-Neonatal brachial plexus palsy

Neonatal brachial plexus palsy – selected surgical techniques

Video Transcription

Video Summary

In the video, Scott Wolfe discusses various surgical techniques for brachial plexus birth palsy. He emphasizes the importance of focusing on doable operations rather than difficult ones. He specifically explores the potential of nerve transfers as a viable option. Wolfe explains that nerve transfers can be done by a competent surgeon comfortable with nerve surgery because the anatomy is normal and there are no major obstacles. He discusses the technique for performing a nerve transfer for elbow flexion, using the biceps and brachialis as recipients and the ulnar or median nerves as donors. Wolfe also explains the technique for shoulder reanimation, transferring the suprascapular and axillary nerves with the spinal accessory and radial nerves as donors. He further discusses the use of open reduction surgery for shoulder dysplasia. Finally, he touches on the issue of contractures following surgical procedures and the importance of preserving midline function. The video concludes with a discussion on the decision-making process for nerve transfers and the potential timing for these procedures.

Keywords

surgical techniques

brachial plexus birth palsy

nerve transfers

elbow flexion

shoulder reanimation

open reduction surgery

contractures