Microsurgical treatment of brachial plexus paralysis

Obstetrical brachial plexus palsy is still current pathology. It occurs in 1/2000 deliveries in developed countries. Spontaneous recovery occurs only in 50% of all cases. This is justifying surgical exploration of the brachial plexus and its reparation by microsurgical techniques. This surgery can lead to 82% of good results in the upper arm paralysis of Erb-Duchenne. In paralysis of the entire arm, the results are not as good, but operative procedure usually leads to better results than that following spontaneous recovery

Diagnosis of child abuse

The increase of frequency for child abuse had pushed the authors to make the portrait of this kind of children. Battered children are usually less than 3 years and they may be boys as well as girls. They usually live in a recomposed family, and they are usually battered by their mother The clinical examination may found skin, neurologic, thoraco-abdominal and osseous injuries, I and all these lesions are often multiple and of different ages. In battered children, all theses injuries have some specificities

Surgery in congenital hips dislocation

The authors report 34 cases of congenital dislocation of the hip treated by Chiari osteotomy. The average age was 9 years and the sex ratio was 1/84%. The authors used for the clinical evaluation Salter and Mackay classification, and for the radiographic evaluation Severin classification. There was 6 cases of re-dislocation due to a technical mistake. The secondary treatment of these 6 cases of dislocation leaded to a definitively result more than 90% of good evolution