الفهرس 
Introduction & Aim of the WorkOnly 14 pages are availabe for public view
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Abstract
Aim of the work
To evaluate the management of pediatric brachial plexus palsy with emphasis on the indications of neurosurgical repair and the proper time for surgical interference.
Conclusion
Early primary nerve surgery provides therapeutic advantages for treatment of infant obstetrical brachial plexus palsy. Surgery within 3 months is strongly indicated in patients with total palsy but only relatively indicated for Erb’s palsy.
Better results can be achieved with neurolysis and numerous short nerve grafts from C5 and C6 to the specific target nerves in Erb’s palsy.
Cases associated with multiple root avulsion benefit from intraplexus nerve transfer (neurotization) for hand function and extraplexus nerve transfer (Neurotization) for shoulder and/ or elbow function. This approach affords patients a one –stage functional reconstruction of the upper limb.