Erbs palsy and Brachial plexus injuries

shoulder abduction Aliza was newborn girl with a erbs palsy sustained during childbirth. She was operated at age of 4 months , neuroma was excised and nerve graft were placed to upper and middle trunk  Lower trunk was stimulable so only neurolysis was done. Two year old result are shown in above video. Dr Adhishwar Sharma MBBS , MS Gen Surgery PGIMER Mch Plastic Surgery Fellowship in hand and microvascular surgery 8860650846,adhishwar7@gmail.com

 New born child with herbs palsy

14 year old boy with a sequelae of shoulder, elbow and hand. Patient has following problem in shoulder  1) limited external rotation 2) limited abduction 3)internally rotated upper extremity Elbow 30 degree flexion contracture                                                                   

this is a post operative results of patient who suffered erbs palsy during child birth. As the plexus recovered  patient developed  shoulder contracture which resulted in inability to raise arm. Subscapularis muscle contracture results in internal rotation , adducted arm . It results in inability to raise arm over shoulder , its results in bungle post deformity. Surgery was done to release subscapularis muscle , pectoralis major muscle was partial release was done by cutting on muscle fascia. LD and teres major were transferred to improve external rotation . A spica was placed with arm in full abduction . Dr Adhishwar Sharma MB,BS,MS Gen Surgery PGIMER Chandigarh Mch Plastic Surgery Fellowship in Hand and microvascular surgery 8860650846 ,adhishwar7@gmail.com brahmanandclinic.com

Pan brachial plexus injury which was operated. All trunks were found to be avulsed and nerve transfer were done . Spinal accessory nerve was transferred to suprascapular nerve to innervate suprascapular muscle for shoulder abduction. Successful innervation results in 40 degrees of shoulder abduction which is useful in day to day activities. Intercostal nerves were transferred to elbow for restoration of elbow function .3,4 and 5 intercostal nerves are usually dissected and transferred to musculocutaneous nerve.  Dr Adhishwar Sharma MBBS, ,MS General Surgery PGIMER Chandigarh Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery 8860650846, brahmanandclinic.com

Patient with a upper trunk palsy who was operated for elbow and shoulder palsy . Oberlin transfer was done to restore elbow function. Patient come after six months to show his recovering elbow function. Dr Adhishwar Sharma MB,BS, MS General Surgery PGIMER Chd Mch Plastic Surgery Fellowship in hand and microvascular surgery brahmanandclinic.com 08860650846, adhishwar7@gmail.com