{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,21]],"date-time":"2025-05-21T23:07:41Z","timestamp":1747868861276},"reference-count":12,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Semin Plast Surg"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A multidisciplinary team at BC Children's Hospital provides brachial plexus birth injury management for our provincial catchment area. Although compared with many centers we service a relatively small clinic population, we have the benefit of universal health care, province-wide reach, and accessible research infrastructure. In 2008, we created the Sup-ER protocol, which includes an orthosis that passively positions the neonatal shoulder into more idealized glenohumeral contact during early growth. We have since shown that our Sup-ER patients have better shoulder outcomes, require less brachial plexus surgery, and need fewer shoulder tendon transfers than those patients treated in our clinic prior to 2008. We have also found that the rate and degree of elbow flexion contractures are reduced compared with results reported in the literature.<\/jats:p>","DOI":"10.1055\/s-0043-1767783","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T22:41:03Z","timestamp":1690411263000},"page":"102-107","source":"Crossref","is-referenced-by-count":1,"title":["Management of Brachial Plexus Birth Injuries at British Columbia Children's Hospital"],"prefix":"10.1055","volume":"37","author":[{"given":"Cynthia","family":"Verchere","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada"},{"name":"Division of Pediatric Plastic Surgery, Department of Surgery, British Columbia Children's Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim","family":"Durlacher","sequence":"additional","affiliation":[{"name":"Occupational Therapy Department, British Columbia Children's Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doria","family":"Bellows","sequence":"additional","affiliation":[{"name":"Physiotherapy Department, British Columbia Children's Hospital, Vancouver, BC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,7,26]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"222","DOI":"10.3171\/2015.6.PEDS14703","article-title":"Obstetrical brachial plexus injury: burden in a publicly funded, universal healthcare system","volume":"17","author":"C J Coroneos","year":"2016","journal-title":"J Neurosurg Pediatr"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"144e","DOI":"10.1097\/PRS.0b013e3181a80798","article-title":"Obstetrical brachial plexus palsy","volume":"124","author":"G H Borschel","year":"2009","journal-title":"Plast Reconstr 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