{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T12:39:17Z","timestamp":1791463157705,"version":"4.3.4"},"reference-count":11,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T00:00:00Z","timestamp":1718928000000},"content-version":"vor","delay-in-days":172,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Brachial Plex Peripher Nerve Inj"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Purpose\u2003To better understand the long-term hand and shoulder outcomes of upper brachial plexus birth injuries.<\/jats:p><jats:p>\n          Methods\u2003We evaluated shoulder and hand function in 32 patients (13 males; 19 females) with a C5\/C6 birth injury history). All patients had undergone primary nerve surgery as infants, and 12 underwent a simultaneous shoulder procedure as they presented with a fixed internal rotation contracture of the shoulder. On average, all patients were evaluated and examined 15 years postoperatively. The shoulder function was evaluated using the Miami Shoulder Scale. Hand function was measured by the 9-hole peg test (9-HPT) and statistical analysis included comparison of 9-HPT time against normative data using the Student's t-test.<\/jats:p><jats:p>\n          Results\u2003The cohort includes 22 right-hand-dominant and 10 left-hand-dominant patients. Mean age at surgery was 10 months; mean age at follow-up was 15 years\u2009\u00b1\u20092 years 2 months. Cumulative shoulder function was \u201cgood\u201d or \u201cexcellent\u201d (Miami score) in 23 patients. For 9-HPT, 23 out of 32 patients seen had an involved hand with a significant alteration in function.<\/jats:p><jats:p>\n          Conclusion\u2003Early nerve surgery in cases of upper brachial plexus birth injuries result in the desired outcome. To ensure timely and targeted therapy for any residual deficits, it is imperative that limitations in hand function among children with an Erb's palsy.<\/jats:p>","DOI":"10.1055\/s-0044-1787151","type":"journal-article","created":{"date-parts":[[2024,6,21]],"date-time":"2024-06-21T22:57:41Z","timestamp":1719010661000},"page":"e27-e30","source":"Crossref","is-referenced-by-count":2,"title":["Long-Term Hand and Shoulder Function in Children following Early Surgical Intervention for a Birth-Related Upper Brachial Plexus Injury"],"prefix":"10.1055","volume":"19","author":[{"given":"Rachel N.","family":"Aber","sequence":"additional","affiliation":[{"name":"Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leslie A.","family":"Grossman","sequence":"additional","affiliation":[{"name":"Brachial Plexus Program, Nicklaus Children's Hospital, Miami, Florida, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aaron J.","family":"Berger","sequence":"additional","affiliation":[{"name":"Nicklaus Children's Hospital, Miami, Florida, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew E.","family":"Price","sequence":"additional","affiliation":[{"name":"Nicklaus Children's Hospital, Miami, Florida, United States"},{"name":"Orthopedic Surgery, NYU Langone Medical Center, New York, New York, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Israel","family":"Alfonso","sequence":"additional","affiliation":[{"name":"Nicklaus Children's Hospital, Miami, Florida, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.I.","family":"Grossman","sequence":"additional","affiliation":[{"name":"Brachial Plexus Program, Nicklaus Children's Hospital, Miami, Florida, United States"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2024,6,21]]},"reference":[{"issue":"11","key":"ref1","first-page":"17","article-title":"A review of brachial plexus birth palsy: injury and rehabilitation","volume":"100","author":"J E Raducha","year":"2017","journal-title":"R I Med J (2013)"},{"issue":"02","key":"ref2","doi-asserted-by":"crossref","first-page":"166","DOI":"10.1111\/j.1469-8749.2011.04120.x","article-title":"Hand function in children with an upper brachial plexus birth injury: results of the nine-hole peg test","volume":"54","author":"I Immerman","year":"2012","journal-title":"Dev Med Child Neurol"},{"issue":"03","key":"ref3","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1177\/1753193420934676","article-title":"Evidence that nerve surgery improves functional outcome for obstetric brachial plexus injury","volume":"46","author":"W Pondaag","year":"2021","journal-title":"J Hand Surg Eur 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evaluation of brachial plexus surgery in obstetrical palsy","volume":"11","author":"A Gilbert","year":"1995","journal-title":"Hand Clin"},{"issue":"03","key":"ref11","doi-asserted-by":"crossref","first-page":"348","DOI":"10.1197\/j.jht.2005.04.003","article-title":"Measuring dexterity in children using the Nine-hole peg test","volume":"18","author":"J L Poole","year":"2005","journal-title":"J Hand Ther"}],"container-title":["Journal of Brachial Plexus and Peripheral Nerve Injury"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0044-1787151.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,5]],"date-time":"2024-11-05T11:54:06Z","timestamp":1730807646000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0044-1787151"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1]]},"references-count":11,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2024,1,22]]},"published-print":{"date-parts":[[2024,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0044-1787151","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["1749-7221"],"issn-type":[{"value":"1749-7221","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,1]]}}}