Brachial plexus palsy: An in utero injury?

被引:74
作者
Gherman, RB
Ouzounian, JG
Goodwin, TM
机构
[1] Portsmouth Naval Hosp, Dept Obstet & Gynecol, Div Maternal Fetal Med, Portsmouth, VA 23708 USA
[2] Univ So Calif, Sch Med, Dept Obstet & Gynecol, Div Maternal Fetal Med, Los Angeles, CA 90089 USA
关键词
brachial plexus injury; shoulder dystocia; delivery;
D O I
10.1016/S0002-9378(99)70633-2
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Acquired brachial plexus injury historically has been linked with excessive lateral traction applied to the fetal head, usually in association with shoulder dystocia. Recent reports in the obstetric literature, however, have suggested that in utero forces may underlie a significant portion of these injuries. Brachial plexus palsies may therefore precede the delivery itself and may occur independent of the actions of the accoucheur. Thus we propose that the long-held notions of a traction-mediated pathophysiologic mechanism for all brachial plexus injuries warrant critical reappraisal. (Am J Obstet Gynecol 1999;180:1303-7.).
引用
收藏
页码:1303 / 1307
页数:5
相关论文
共 52 条
[1]  
ACKER DB, 1988, OBSTET GYNECOL, V71, P389
[2]  
*AM COLL OBST GYN, 1997, SHOULD DYST
[3]   PERINATAL IMPLICATIONS OF SHOULDER DYSTOCIA [J].
BASKETT, TF ;
ALLEN, AC .
OBSTETRICS AND GYNECOLOGY, 1995, 86 (01) :14-17
[4]  
BENEDETTI TJ, 1978, OBSTET GYNECOL, V52, P526
[5]  
Benedetti TJ, 1989, CONTEMP OBSTET GYNEC, V33, P150
[6]  
BOWES WA, 1994, MATERNAL FETAL MED P, P527
[7]  
Brown B., 1997, American Journal of Obstetrics and Gynecology, V176, pS137, DOI 10.1016/S0002-9378(97)80535-2
[8]   Pregnancy outcomes in women with gestational diabetes compared with the general obstetric population [J].
Casey, BM ;
Lucas, MJ ;
McIntire, DD ;
Leveno, KJ .
OBSTETRICS AND GYNECOLOGY, 1997, 90 (06) :869-873
[9]   OSTEOMYELITIS AS A CAUSE OF BRACHIAL-PLEXUS NEUROPATHY [J].
CLAY, SA .
AMERICAN JOURNAL OF DISEASES OF CHILDREN, 1982, 136 (12) :1054-1056
[10]  
CONE LNJ, 1993, CLIN NEUROL NEUROSUR, V73, pS24