"Voiceless Pain"-Assessment of Pain in Patients with Obstetric Brachial Plexus Injuries: A Retrospective…

Cohort studyJournal of personalized medicine· Oct 2024

"Voiceless Pain"-Assessment of Pain in Patients with Obstetric Brachial Plexus Injuries: A Retrospective, Single Center Analysis.

Savas Tsolakidis, Bong-Sung Kim, Ziyad Alharbi … Paul Supper

Hand & Peripheral NerveCohort studyPrognosisQ1IF 3.6

Most obstetric brachial plexus injury patients report no lifetime arm pain

"Voiceless Pain"-Assessment of Pain in Patients with Obstetric Brachial Plexus Injuries: A Retrospective, Single Center Analysis.

Savas Tsolakidis … Paul Supper

Journal of personalized medicine · Oct 2024 · Q1 in General Medicine

Background

Obstetric brachial plexus injuries (obstetric brachial plexus injuries) not only lead to severe and life changing sequelae regarding motor impairment but can also be responsible for multi-characteristic pain.

Purpose

We aimed to elucidate this specific question and analyzed all patients with obstetric brachial plexus injuries treated in our center to unmask initially non-observed pain and ultimately put pain in correlation to the surgical reconstructive treatment performed.

Methods

Were surveyed by the adolescent pediatric pain tool assessment to evaluate pain over their entire life span by excluding potential postoperative pain episodes.

n = 95 patients

Results

84.6%

most had no lasting arm pain after their injury

n = 95 patients

More results

A total of 95 patients were initially contacted of which 78 returned the questionnaire (53.8% female, 46.2% male).

Most of the patients describing pain had not been microsurgically treated for brachial plexus reconstruction in their neonate period.

More results

Merely, 33.3 percent of all obstetric brachial plexus injuries experiencing pain had been microsurgically reconstructed at a median age of 7 months.

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Conclusion · 1 of 2

Pain interrogation in patients with obstetric brachial plexus injuries is often overseen during daily clinical routine. Adequate age-appropriate analgesic therapy regimens adapted to the individual are highly recommended.

Conclusion · 2 of 2

Timely microsurgical brachial plexus reconstruction may result in reduced lifetime pain experiences.

"Voiceless Pain"-Assessment of Pain in Patients with Obstetric Brachial Plexus Injuries: A Retrospective, Single Center Analysis.

"Voiceless Pain"-Assessment of Pain in Patients with Obstetric Brachial Plexus Injuries: A Retrospective, Single Center Analysis.

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