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Traitement du déséquilibre musculaire du plexus brachial

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Plexus brachial Actualités et perspectives

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Résumé

La paralysie obstétricale du plexus brachial (POPB) est une paralysie partielle ou totale du membre supérieur, causée par une lésion unilatérale ou bilatérale du plexus brachial, qui affecte les racines nerveuses C5 et C6 (80 % des cas) et moins fréquemment C7, C8 et T1 [1–2]. Cette complication survient au moment de la naissance, le plus souvent après un accouchement difficile, mais aussi lors d’une césarienne (1 à 4 % des cas) [3]. Malgré les progrès de l’obstétrique, l’incidence ne semble pas avoir diminué de façon signifi cative ces dernières années (3,0/1 000 en Norvège, 3,3/1 000 en Suède et 4,6/1 000 aux Pays-Bas) [4–5]. Les études publiées montrent la difficulté de prédire, voire de prévenir une POPB, même si de nombreux facteurs de risque ont été identifiés : un diabète maternel mal équilibré, un poids élevé de l’enfant (supérieur à 4 kg), une malposition utérine ou des anomalies utérines, une naissance par le siège d’un nouveau-né de petit poids et une dystocie des épaules [6–7].

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Authors and Affiliations

  1. Service de rééducation orthopédique de l’enfant, Hôpitaux de Saint-Maurice, 14, rue du Val-d’Osne, 94410, Saint-Maurice, France

    N. Quintero, F. Guillou, M. Alkandari, A. G. Py & D. Pilliard

  2. Service de chirurgie orthopédique et réparatrice de l’enfant, Hôpital Armand Trousseau AP-HP, 26, avenue du Docteur-Arnold-Netter, 75571, Paris Cedex 12, France

    C. Romana

Authors
  1. N. Quintero
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  2. F. Guillou
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  3. M. Alkandari
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  4. A. G. Py
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  5. D. Pilliard
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  6. C. Romana
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Correspondence to N. Quintero .

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Quintero, N., Guillou, F., Alkandari, M., Py, A.G., Pilliard, D., Romana, C. (2012). Traitement du déséquilibre musculaire du plexus brachial. In: Plexus brachial Actualités et perspectives. Springer, Paris. https://doi.org/10.1007/978-2-8178-0334-0_10

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  • DOI: https://doi.org/10.1007/978-2-8178-0334-0_10

  • Publisher Name: Springer, Paris

  • Print ISBN: 978-2-8178-0333-3

  • Online ISBN: 978-2-8178-0334-0

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