At present, brachial plexus and peripheral nerve injury is not well-understood in children. A multidisciplinary, comprehensive center for the study of brachial plexus and peripheral nerve injuries in the pediatric population places particular emphasis on children who suffer these types of injuries during the birth process or via other types of trauma. A regional, centralized comprehensive clinic offers the expertise in the evaluation and treatment for these children. Further programming through education and clinical and basic science research allows the center to be on the forefront in the understanding of the pathophysiologyof brachial plexus and peripheral nerve injuries and their treatment.
To provide the highest level of expertise, the members of the multidisciplinary service include pediatric neurosurgery, plastic surgery/microsurgery, neurology, social work, radiology, trauma surgery, and physical and occupational therapy. The patients are evaluated by the combined disciplines and electrophysiologic evaluation and imaging (both anatomic and functional) are able to be coordinated through the resource centers for these modalities. Treatment options including surgical intervention or physical or occupational therapy is decided following a comprehensive review of the evaluative information amongst the members of the center using established principles. |