{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T22:16:21Z","timestamp":1790806581850,"version":"4.1.0"},"reference-count":13,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T00:00:00Z","timestamp":1626825600000},"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":["J Hand Surg Eur Vol"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>The widespread use of the operating microscope for nerve repairs has inspired operative treatment for obstetric paralysis. For a long time, the standard treatment has been based on early nerve surgery. However, the generally accepted strategy for treating obstetric paralysis is far from satisfactory. The main sequels we have observed are due to incorrect treatment of the deficits or due to devastating early nerve surgery. Therefore, a different approach should be considered and designed to prevent and treat the main deficits. After examining over 1000 non-operated patients over almost four decades and in three different countries, I have never encountered anyone who has not recovered active contraction of shoulder muscles or relatively strong elbow flexion. Therefore, I recommend not to have early nerve surgery.<\/jats:p>","DOI":"10.1177\/17531934211032032","type":"journal-article","created":{"date-parts":[[2021,7,22]],"date-time":"2021-07-22T00:31:37Z","timestamp":1626913897000},"page":"705-707","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Rethinking surgical strategy in the management of obstetrical palsy"],"prefix":"10.1177","volume":"46","author":[{"given":"Christophe","family":"Oberlin","sequence":"first","affiliation":[{"name":"Clinique Mont, Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2021,7,21]]},"reference":[{"key":"bibr1-17531934211032032","doi-asserted-by":"publisher","DOI":"10.1177\/1753193418812639"},{"key":"bibr2-17531934211032032","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.70B4.3403599"},{"key":"bibr3-17531934211032032","doi-asserted-by":"crossref","unstructured":"El-Sayed AAF. Evidence of the effectiveness of primary brachial plexus surgery in infants with obstetric brachial plexus palsy revisited. Child Neurol Open. 2017, 4: 2329048X17709395. doi: 10.1177\/2329048X17709395. eCollection Jan-Dec 2017.","DOI":"10.1177\/2329048X17709395"},{"key":"bibr4-17531934211032032","unstructured":"Gilbert A, Tassin JL. Obstetrical palsy: a clinical, pathologic, and surgical review. In: Terzis JK (Ed.)\n                      Microreconstruction of nerve injuries\n                      . Philadelphia, WB Saunders, 1987: 529\u201353."},{"key":"bibr5-17531934211032032","doi-asserted-by":"publisher","DOI":"10.1177\/1753193417712924"},{"key":"bibr6-17531934211032032","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B2.17185"},{"key":"bibr7-17531934211032032","doi-asserted-by":"publisher","DOI":"10.1007\/s11832-009-0161-1"},{"key":"bibr8-17531934211032032","unstructured":"Narakas AO. Obstetrical brachial plexus injuries. In: Lamb DW (Ed.)\n                      The paralysed hand\n                      . Edinburgh, Churchill Livingstone, 1987: 116\u201335."},{"key":"bibr9-17531934211032032","doi-asserted-by":"publisher","DOI":"10.1177\/1753193420934676"},{"key":"bibr10-17531934211032032","doi-asserted-by":"publisher","DOI":"10.1177\/1753193409105188"},{"key":"bibr11-17531934211032032","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-199905000-00006"},{"key":"bibr12-17531934211032032","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.C.01614"},{"key":"bibr13-17531934211032032","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.E.00680"}],"container-title":["Journal of Hand Surgery (European Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934211032032","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/17531934211032032","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/17531934211032032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:45:54Z","timestamp":1777502754000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/17531934211032032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7,21]]},"references-count":13,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/17531934211032032"],"URL":"https:\/\/doi.org\/10.1177\/17531934211032032","relation":{},"ISSN":["1753-1934","2043-6289"],"issn-type":[{"value":"1753-1934","type":"print"},{"value":"2043-6289","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7,21]]}}}