This case report highlights the long-term upper limb dysfunction and abnormal posture following bilateral obstetric brachial plexus injury despite early microsurgical intervention.
May warrant long-term upper limb surveillance after obstetric brachial plexus injury; leaves open optimal prevention and rehabilitation strategies.
Our case report describes a bilateral obstetric brachial plexus injury in a 14-year-old boy. In the first years of his life, treatment was conservative. After a period of clinical improvement, spontaneous regeneration had stopped. At age two years and three months, neurotmesis with root avulsion was diagnosed, which was the grounds for microsurgery. Unilateral revision and external neurolysis were performed. Currently, we observed dysfunction of the upper limbs associated with paresis primarily of the shoulder flexors, abductors, external rotators, elbow flexors and abnormal posture as well.
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Okulczyk et al. (2013) studied this question.
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