{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T21:23:37Z","timestamp":1788643417707,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[2023,3,25]],"date-time":"2023-03-25T00:00:00Z","timestamp":1679702400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>\n                    Infants can sustain traction injury to brachial plexus nerves during birth, called brachial plexus birth injury (BPBI). While spontaneous recovery is possible, upper extremity weakness can linger. We report our experience at a brachial plexus clinic from a retrospective chart review of infants with BPBI from September 2017 to September 2019. We determined Narakas Classification (NC) and Active Movement Scale (AMS) at predetermined follow-up points. Of 15 patients, 8 presented with NC-I, 5 with NC-II, and 2 with NC-III without Horner\u2019s syndrome. By 7 months, 3 had spontaneous recovery, and 4 achieved all and another 4 achieved most AMS5-7 scores. Eleven patients undergoing surgery had little-to-no improvement of\n                    <jats:italic toggle=\"yes\">shoulder abduction<\/jats:italic>\n                    and\n                    <jats:italic toggle=\"yes\">shoulder external rotation<\/jats:italic>\n                    AMS categories by 6 months. Our small sample size prevents us from making definitive conclusions but gave beneficial insight into our clinic barriers to follow-up, data collection, and collaboration with physical and occupational therapy.\n                  <\/jats:p>","DOI":"10.1177\/00099228231163698","type":"journal-article","created":{"date-parts":[[2023,3,25]],"date-time":"2023-03-25T04:55:20Z","timestamp":1679720120000},"page":"1489-1496","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":5,"title":["Brachial Plexus Birth Injury: A Single-Center Study"],"prefix":"10.1177","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8487-006X","authenticated-orcid":false,"given":"Elena","family":"Caron","sequence":"first","affiliation":[{"name":"Neuroscience Institute, Le Bonheur Children\u2019s Hospital, Memphis, TN, USA"},{"name":"University of Tennessee Le Bonheur Pediatric Specialists, Memphis, TN, USA"},{"name":"Division of Pediatric Neurology, The University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6847-3387","authenticated-orcid":false,"given":"Andrew J.","family":"Gienapp","sequence":"additional","affiliation":[{"name":"Neuroscience Institute, Le Bonheur Children\u2019s Hospital, Memphis, TN, USA"},{"name":"Department of Neurosurgery, The University of Tennessee Health Science Center, Memphis, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Files","sequence":"additional","affiliation":[{"name":"Neuroscience Institute, Le Bonheur Children\u2019s Hospital, Memphis, TN, USA"},{"name":"Rhodes College, Memphis, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tracee","family":"Ridley-Pryor","sequence":"additional","affiliation":[{"name":"Neuroscience Institute, Le Bonheur Children\u2019s Hospital, Memphis, TN, USA"},{"name":"University of Tennessee Le Bonheur Pediatric Specialists, Memphis, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,3,25]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1651-2227.1997.tb14849.x."},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.G.00853."},{"issue":"11","key":"e_1_3_2_4_2","first-page":"17","article-title":"A review of brachial plexus birth palsy: injury and rehabilitation","volume":"100","author":"Raducha JE","year":"2017","unstructured":"Raducha JE, Cohen B, Blood T, Katarincic J. A review of brachial plexus birth palsy: injury and rehabilitation. R I Med J (2013). 2017;100(11):17-21.","journal-title":"R I Med J (2013)"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.4103\/0970-0358.90805."},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1017\/s0012162204000258."},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2016-014141."},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1080\/14767050600850498."},{"issue":"6","key":"e_1_3_2_9_2","first-page":"569","article-title":"Obstetric brachial plexus palsy\u2014risk factors and predictors","volume":"9","author":"Sibi\u0144ski M","year":"2007","unstructured":"Sibi\u0144ski M, Synder M. Obstetric brachial plexus palsy\u2014risk factors and predictors. Ortop Traumatol Rehabil. 2007;9(6):569-576.","journal-title":"Ortop Traumatol Rehabil"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-009-0208-3."},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhsu.2002.32965."},{"key":"e_1_3_2_12_2","unstructured":"The Hospital for Sick Children (SickKids). A clinicians guide to the active movement scale (AMS): an evaluative tool for infants with obstetrical brachial plexus palsy. The Hospital for Sick Children. Date unknown. regionvasterbotten.se https:\/\/www.sickkids.ca\/PDFs\/Plastic-Surgery\/76657-A%20Clinicians%20Guide%20To%20The%20Active%20Movement%20Scale%20(AMS).pdf."},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2013.12.004."},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0026193."},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-005-1261-y."},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0266-7681(02)00281-4."},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15255."},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1111\/dmcn.15250."},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/11.2.93."},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.5402\/2012\/307039."}],"container-title":["Clinical Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228231163698","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00099228231163698","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00099228231163698","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:32:28Z","timestamp":1777393948000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00099228231163698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,25]]},"references-count":19,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1177\/00099228231163698"],"URL":"https:\/\/doi.org\/10.1177\/00099228231163698","relation":{},"ISSN":["0009-9228","1938-2707"],"issn-type":[{"value":"0009-9228","type":"print"},{"value":"1938-2707","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,3,25]]}}}