{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T15:22:21Z","timestamp":1774452141584,"version":"3.50.1"},"reference-count":63,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2008,3,31]],"date-time":"2008-03-31T00:00:00Z","timestamp":1206921600000},"content-version":"vor","delay-in-days":90,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Microsurgery"],"published-print":{"date-parts":[[2008,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Birth brachial plexus injury usually affects the upper roots. In most cases, spontaneous reinnervation occurs in a variable degree. This aberrant reinnervation leaves characteristic deformities of the shoulder, elbow, forearm, wrist, and hand. Common sequelae are the internal rotation and adduction deformity of the shoulder, elbow flexion contractures, forearm supination deformity, and lack of wrist extension and finger flexion. Nowadays, the strategy in the management of obstetrical brachial plexus palsy focuses in close follow\u2010up of the baby up to 3\u20136 months and if there are no signs of recovery, microsurgical repair is indicated. Nonetheless, palliative surgery consisting of an ensemble of secondary procedures is used to further improve the overall function of the upper extremity in patients who present late or fail to improve after primary management. These secondary procedures include transfers of free vascularized and neurotized muscles. We present and discuss our experience in treating early and\/or late obstetrical palsies utilizing the above\u2010mentioned microsurgical strategy and review the literature on the management of brachial plexus birth palsy. \u00a9 2008 Wiley\u2010Liss, Inc. Microsurgery, 2008.<\/jats:p>","DOI":"10.1002\/micr.20493","type":"journal-article","created":{"date-parts":[[2008,4,1]],"date-time":"2008-04-01T03:46:39Z","timestamp":1207021599000},"page":"252-261","source":"Crossref","is-referenced-by-count":30,"title":["Management of obstetrical brachial plexus palsy with early plexus microreconstruction and late muscle transfers"],"prefix":"10.1002","volume":"28","author":[{"given":"Marios D.","family":"Vekris","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marios G.","family":"Lykissas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandros E.","family":"Beris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grigorios","family":"Manoudis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anastasios D.","family":"Vekris","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Panayiotis N.","family":"Soucacos","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2008,3,31]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/0303-8467(93)90042-F"},{"key":"e_1_2_1_3_2","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/S0030-5898(20)31073-7","article-title":"Tendon transfers in brachial plexus injuries","volume":"5","author":"Burkhalter EB","year":"1974","journal-title":"Orthop Clin North Am"},{"key":"e_1_2_1_4_2","doi-asserted-by":"crossref","first-page":"273","DOI":"10.1016\/S0749-0712(21)01142-2","article-title":"Tendon transfer for brachial plexus injury","volume":"4","author":"Leffert RD","year":"1988","journal-title":"Hand Clin"},{"key":"e_1_2_1_5_2","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/S0749-0712(21)00269-9","article-title":"A management approach for secondary shoulder and forearm deformities following obstetrical brachial plexus injury","volume":"11","author":"Price AE","year":"1995","journal-title":"Hand Clin"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006534-200202000-00022"},{"key":"e_1_2_1_7_2","first-page":"166","article-title":"Primaut\u00e9 du traitement de l'\u00e9paule\u2014m\u00e9thode d'expr\u2010ession des r\u00e9sultats. 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