Brachial Plexus Birth Injuries

A Critical Analysis Review

Abstract

• » The incidence of brachial plexus birth injury (BPBI) in the United States is declining and now occurs in <1 per 1,000 births.
• » The gold standard for predicting the need for early intervention remains serial examination.
• » Early treatment of BPBI with reconstructive surgery requires the ability to perform both interposition nerve grafting and nerve transfers.
• » Given the heterogeneity of lesions, the evidence is largely limited to retrospective comparative studies and case series.