[Palsy of the upper limb: Obstetrical brachial plexus palsy, arthrogryposis, cerebral palsy].
"Palsy of the upper limb" in children includes various diseases which leads to hypomobility of the member: cerebral palsy, arthrogryposis and obstetrical brachial plexus palsy. These pathologies which differ on brain damage or not, have the same consequences due to the early achievement: negligence, stiffness and deformities. Regular entire clinical examination of the member, an assessment of needs in daily life, knowledge of the social and family environment, are key points for management. In these pathologies, the rehabilitation is an emergency, which began at birth and intensively. Splints and physiotherapy are part of the treatment. Surgery may have a functional goal, hygienic or aesthetic in different situations. The main goals of surgery are to treat: joints stiffness, bones deformities, muscles contractures and spasticity, paresis, ligamentous laxity.
Service de chirurgie plastique Enfants, hôpital Saint-Joseph, 26, boulevard de Louvain, 13008 Marseille, France. Electronic address: dr.salazard@gmail.com.
B
B
Salazard
Service de chirurgie plastique, hôpital de la Conception, 147, boulevard Baille, 13385 Marseille cedex 5, France.
C
C
Philandrianos
Service de chirurgie orthopédique, hôpital communautaire, Bangui, République centrafricaine.
B
B
Tekpa
D001176:Arthrogryposis / Q000503:physiopathology* / Q000601:surgery; D001720:Birth Injuries / Q000503:physiopathology / Q000601:surgery; D020516:Brachial Plexus Neuropathies / Q000503:physiopathology* / Q000601:surgery; D002547:Cerebral Palsy / Q000503:physiopathology* / Q000601:surgery; D002648:Child; D006801:Humans; D019637:Orthopedic Procedures; D010246:Paralysis, Obstetric / Q000503:physiopathology / Q000601:surgery; D034941:Upper Extremity / Q000294:innervation / Q000503:physiopathology* / Q000601:surgery*
Arthrogrypose multiple congénitale; Arthrogryposis multiplex congenita; Cerebral palsy; Obstetrical brachial plexus palsy; Paralysie cérébrale; Paralysie obstétricale du plexus brachial