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M. Mark Hoffer, MD; Richard Braun, MD; John Hsu, MD; Margaret Mitani, OTR; Kathryn Temes, OTR

JAMA. 1981;246(21):2467-2470.

Abstract
Functional recovery in 133 patients with brachial palsy is documented over a five-year period. Clinical examination is more reliable than electromyogram or myelogram for obtaining prognostic information. Erb's C V, VI palsies have improved function with cuff transfers and elbow flexor plasties. Posterior cord palsies often require extension plasties of the hand and glenohumeral fusions. C V, VI, VII palsies may require all of these procedures. Klumpke C VIII-T I palsies develop arm-trunk holding power. Adults with total palsies often complain of continued pain, which may be relieved by orthoses.

(JAMA 1981;246:2467-2470)

Author Affiliations
From Rancho Los Amigos Hospital, Downey, Calif.

Footnotes
Reprint requests to Rancho Los Amigos Hospital, 7601 E Imperial Hwy, Downey, CA 90242 (Dr Hoffer).

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