Palsy of the upper limb: Obstetrical brachial plexus palsy, arthrogryposis, cerebral palsy

• Published in: Annales de chirurgie plastique et esthétique Vol. 61; no. 5; pp. 613 - 621
• Main Authors: Salazard, B, Philandrianos, C, Tekpa, B
• Format: Journal Article
• Language: French
• Published: France 01.10.2016
• Subjects: Arthrogryposis - physiopathology; Arthrogryposis - surgery; Birth Injuries - physiopathology; Birth Injuries - surgery; Brachial Plexus Neuropathies - physiopathology; Brachial Plexus Neuropathies - surgery; Cerebral Palsy - physiopathology; Cerebral Palsy - surgery; Child; Humans; Orthopedic Procedures; Paralysis, Obstetric - physiopathology; Paralysis, Obstetric - surgery; Upper Extremity - innervation; Upper Extremity - physiopathology; Upper Extremity - surgery; Arthrogryposis multiplex congenita; Obstetrical brachial plexus palsy; Cerebral palsy; Arthrogrypose multiple congénitale; Paralysie obstétricale du plexus brachial; Paralysie cérébrale
• ISSN: 1768-319X
• DOI: 10.1016/j.anplas.2016.09.003

"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.