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Instructional Course Lecture   |    
Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Tendon Transfers About the Shoulder and Elbow in Obstetrical Brachial Plexus Palsy*†
JAMES B. BENNETT, M.D.‡, HOUSTON, TEXAS; CHRISTOPHER H. ALLAN, M.D.§, SEATTLE, WASHINGTON
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An Instructional Course Lecture, American Academy of Orthopaedic Surgeons
J Bone Joint Surg Am, 1999 Nov 01;81(11):1612-27
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Obstetrical or birth palsy of the brachial plexus occurs in as many as one in 250 births30,32. Predisposing factors include high birth weight, prolonged labor, breech presentation, and shoulder dystocia. The actual lesion is produced by traction on the neural elements—for example, stretching of the brachial plexus with forced lateral flexion of the head and neck. Most of these injuries resolve without operative intervention. For patients who are more severely affected, however, a variety of procedures are available (Table I). The treatment algorithm to maximize each child's long-term functional recovery is continuously evolving (Table II).
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    Accreditation Statement
    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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