title: Early combined neurosurgery and orthopaedic surgery in Neonatal Brachial Plexus Palsy.
abstract: Three cases are presented in which neurosurgical reconstruction of a Neonatal Brachial Plexus Palsy was combined with orthopaedic reconstruction of a posterior glenohumeral dislocation. The authors believe that a combined procedure is indicated if the neurological deficit meets the criteria for neural reconstruction and the complication of a posterior glenohumeral dislocation has occurred prior to nerve surgery. Two children with C5-6 lesions and a third child with a pan-plexus lesion obtained good shoulder function following the combined reconstruction.
authors.affiliation: Department of Hand and Peripheral Nerve Surgery, Royal North Shore Hospital, St. Leonards, NSW, Australia.
authors.forename: Ram
authors.initials: R
authors.lastname: Palti
authors.forename: Maxim D
authors.initials: MD
authors.lastname: Horwitz
authors.forename: Nicholas C
authors.initials: NC
authors.lastname: Smith
authors.forename: Michael A
authors.initials: MA
authors.lastname: Tonkin
mesh_terms: D001917:Brachial Plexus / Q000293:injuries / Q000601:surgery*; D020516:Brachial Plexus Neuropathies / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D019635:Neurosurgical Procedures / Q000379:methods*; D019637:Orthopedic Procedures / Q000379:methods*; D010243:Paralysis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012783:Shoulder Dislocation / Q000150:complications* / Q000151:congenital; D012785:Shoulder Joint / Q000294:innervation / Q000503:physiopathology / Q000601:surgery