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John A. I. Grossman, MD

Arch Neurol. 2006;63:1031-1032.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Much controversy continues to surround the treatment of infants with brachial plexus birth injuries. It centers primarily on questions concerning the indications, timing, and results of early operative intervention with microsurgical nerve reconstruction.¹ A careful evaluation of some available studies on the natural history of the injury^2-10 and some surgical outcome data^11-13 make it possible to develop a reasonable treatment strategy for these patients. Despite some conflicting reports,^14-16 probably more than 70% of all infants presenting with a brachial plexus injury at birth will have a very good ongoing spontaneous recovery throughout the extremity. Therefore, only a small number of these patients are potential candidates for early nerve surgery.

In a groundbreaking report more than 20 years ago, Gilbert and Tassin¹⁷ suggested that infants with a brachial plexus birth injury who did not demonstrate palpable bicep muscle recovery by 3 months of age were destined . . . [Full Text of this Article]

AUTHOR INFORMATION

Author Affiliations: Brachial Plexus Programs, Miami Children's Hospital, Miami, Fla, and Hospital for Joint Diseases, New York, NY.

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