Abstract
The role of Botox in Brachial Plexus Birth Palsy (BPBP) is still evolving. It is mainly used to overcome the co-contractions commonly seen in patients with recovering BPBP. Co-contractions result from cross innervation and are the main reason for development of various deformities in birth palsy patients. Unwanted muscular co-contractions or inappropriate activation of anatagonist muslces can hamper co-ordinated movements. Botox can thus help by suppressing these co-contractions. Its use has been reported for quite some time now and indications are being defined. Recent reports confirm it as an adjuvant in the treatment of posterior shoulder subluxation. What needs to be scrutinised is the exact patient group it would be helpful for. The patients who are clear candidates for surgery need not have delay in appropriate treatment due to Botox. We have been using Botox in our practice for three main indications:
Highlights
From 10th Congress of the Asia-Pacific Federation of Societies of Surgery fo the Hand and the 6th Congress of Asia-Pacific Federation of Societies of Hand Therapists Kuala Lumpur, Malaysia. 2-4 October 2014
It is mainly used to overcome the co-contractions commonly seen in patients with recovering Brachial Plexus Birth Palsy (BPBP)
We have been using Botox in our practice for three main indications: Child with limited elbow flexion These are children who have reasonable hand function at 4-6 months but limited elbow flexion with clinical evidence of co-contraction between the biceps and the triceps. Injecting botox at this age allows the option of nerve surgery in case the recovery of elbow flexion is not satisfactory after botox in 3-4 months’ time
Summary
From 10th Congress of the Asia-Pacific Federation of Societies of Surgery fo the Hand and the 6th Congress of Asia-Pacific Federation of Societies of Hand Therapists Kuala Lumpur, Malaysia. 2-4 October 2014. The role of Botox in Brachial Plexus Birth Palsy (BPBP) is still evolving. It is mainly used to overcome the co-contractions commonly seen in patients with recovering BPBP. Co-contractions result from cross innervation and are the main reason for development of various deformities in birth palsy patients.
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