CaRi-heart technology
Revolutionary new technology to assess the risk of a serious heart condition or heart attack – many years before anything happens.
Correction of brachial plexus injuries in children
Corrective realignment surgery for brachial plexus injuries in children during birth.
Surgery for brachial plexus palsy
This procedure aims to correct shoulder deformities in children caused by brachial plexus palsy — muscle weakness in the shoulder, arm and hand. This condition is caused by injury to the brachial plexus during birth.
The brachial plexus is a group of nerve fibres stemming from the spine and through the neck. If pressure is applied to the baby's head during delivery, these nerves can become damaged causing complete paralysis and weakness.
Left untreated, this condition can cause shoulder abnormalities during the growth of the child. This is because the arm bone isn't fitting the shoulder socket (glenoid). This means that the head doesn't sit properly in the socket and this must be corrected to avoid progressive deterioration and improve function.
Need to know
This procedure is performed under general anaesthetic, so your child will be asleep throughout. A cut is made at the front and if needed, at back of the shoulder (osteotomy) so the surgeon can access the joint.
This releases the tendons and the head is put back into the socket. If the socket is deficient at the back, the shoulder blade (scapula) is remodelled in order to contain the head. The child is often given a plaster jacket to wear for a few weeks in order to protect the surgery.
This releases the tendons and the head is put back into the socket. If the socket is deficient at the back, the shoulder blade (scapula) is remodelled in order to contain the head. The child is often given a plaster jacket to wear for a few weeks in order to protect the surgery.
Your consultant will explain the procedure and answer any questions you have. In the week before surgery, it’s important that your child stays healthy. Let your consultant know if your child has recently had a cold or a sore throat, as surgery may need to be postponed to reduce the risk of complications.
Because general anaesthetic is used during the procedure, your child may need to fast for several hours before the operation. Your consultant will tell you how long they should avoid eating and drinking. Like all procedures, there may be some risks and side effects. Your consultant will explain these to you.
Because general anaesthetic is used during the procedure, your child may need to fast for several hours before the operation. Your consultant will tell you how long they should avoid eating and drinking. Like all procedures, there may be some risks and side effects. Your consultant will explain these to you.
After the child has healed from the procedure and the cast has been removed, they will need intensive physiotherapy to improve the function and to learn how to move the shoulder. This will take several weeks/months.
You will have regular follow-up appointments with your consultant, who will monitor your child's progress with regular follow-ups. They will be happy to answer any questions and address any concerns you might have.
You will have regular follow-up appointments with your consultant, who will monitor your child's progress with regular follow-ups. They will be happy to answer any questions and address any concerns you might have.
Self-funding
Paying for medical treatment
You don't need medical insurance to have fast access to our top consultants, extensive range of treatments, diagnostic tests and surgical procedures at our world-class facilities.
Correction of brachial plexus injuries in children Consultants
Mr Marco Sinisi
Neurosurgery
Our locations
The Portland Hospital
205-209 Great Portland Street W1W 5AH London
Patient stories
Yvette's story: From back pain to hip replacement surgery
Yvette (54) a journalist from Kent, started experiencing pain in her hip seven years ago in 2015. An ex-national gymnast who had been incredibly active and flexible her whole life, Yvette felt concerned about the growing discomfort impacting her quality of life, and so sought help from her GP.
A new hip and straight back into the spin of things
Michael's MAKO hip surgery to treat his arthritis
73 year-old Michael, an avid walker and charity worker, was diagnosed with arthritis in January 2021. After facing long waiting times and increasing pain that was becoming more frequent, he started to look elsewhere for treatment.
This content is intended for general information only and does not replace the need for personal advice from a qualified health professional.