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Narakas classification of obstetric brachial plexus palsy revisited.
J Hand Surg Eur Vol 2009; 34(6):788-91JH

Abstract

Narakas classified babies with obstetric palsy into four groups: upper Erb's, extended Erb's, total palsy, and total palsy with a Horner. Over the last 15 years, it was noted at our obstetric palsy clinic that good spontaneous recovery in newborns with extended Erb's palsy (C5, C6, C7 injury) was more likely if they recovered active wrist extension against gravity before 2 months of age. A hypothesis was made that newborns with extended Erb's palsy (Narakas Group II) may be subclassified into two groups according to this 'early recovery of wrist extension.' In a retrospective study of 581 cases with strict inclusion criteria, the hypothesis was found to be true: patients with extended Erb's and 'early recovery of wrist extension' have significantly higher percentages of good spontaneous recovery of limb function than those with extended Erb's and 'no early recovery of wrist extension' (P<0.0001 by chi-squared test).

Authors+Show Affiliations

Department of Surgery, King Saud University, Riyadh, Saudi Arabia. moqattan@hotmail.comNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19786407

Citation

Al-Qattan, M M., et al. "Narakas Classification of Obstetric Brachial Plexus Palsy Revisited." The Journal of Hand Surgery, European Volume, vol. 34, no. 6, 2009, pp. 788-91.
Al-Qattan MM, El-Sayed AA, Al-Zahrani AY, et al. Narakas classification of obstetric brachial plexus palsy revisited. J Hand Surg Eur Vol. 2009;34(6):788-91.
Al-Qattan, M. M., El-Sayed, A. A., Al-Zahrani, A. Y., Al-Mutairi, S. A., Al-Harbi, M. S., Al-Mutairi, A. M., & Al-Kahtani, F. S. (2009). Narakas classification of obstetric brachial plexus palsy revisited. The Journal of Hand Surgery, European Volume, 34(6), pp. 788-91. doi:10.1177/1753193409348185.
Al-Qattan MM, et al. Narakas Classification of Obstetric Brachial Plexus Palsy Revisited. J Hand Surg Eur Vol. 2009;34(6):788-91. PubMed PMID: 19786407.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Narakas classification of obstetric brachial plexus palsy revisited. AU - Al-Qattan,M M, AU - El-Sayed,A A F, AU - Al-Zahrani,A Y, AU - Al-Mutairi,S A, AU - Al-Harbi,M S, AU - Al-Mutairi,A M, AU - Al-Kahtani,F S, Y1 - 2009/09/28/ PY - 2009/9/30/entrez PY - 2009/9/30/pubmed PY - 2010/3/5/medline SP - 788 EP - 91 JF - The Journal of hand surgery, European volume JO - J Hand Surg Eur Vol VL - 34 IS - 6 N2 - Narakas classified babies with obstetric palsy into four groups: upper Erb's, extended Erb's, total palsy, and total palsy with a Horner. Over the last 15 years, it was noted at our obstetric palsy clinic that good spontaneous recovery in newborns with extended Erb's palsy (C5, C6, C7 injury) was more likely if they recovered active wrist extension against gravity before 2 months of age. A hypothesis was made that newborns with extended Erb's palsy (Narakas Group II) may be subclassified into two groups according to this 'early recovery of wrist extension.' In a retrospective study of 581 cases with strict inclusion criteria, the hypothesis was found to be true: patients with extended Erb's and 'early recovery of wrist extension' have significantly higher percentages of good spontaneous recovery of limb function than those with extended Erb's and 'no early recovery of wrist extension' (P<0.0001 by chi-squared test). SN - 2043-6289 UR - https://www.unboundmedicine.com/medline/citation/19786407/Narakas_classification_of_obstetric_brachial_plexus_palsy_revisited_ L2 - http://journals.sagepub.com/doi/full/10.1177/1753193409348185?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -