Evaluation of the Obstetrical Brachial Plexus Injuries with Forensic Perspective

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dc.authoridAkcakaya, Nihan Hande/0000-0001-8414-4017en_US
dc.authoridAkcakaya, Nihan Hande/0000-0001-8414-4017en_US
dc.contributor.authorAkçakaya, Nihan Hande
dc.contributor.authorColak, Muhammed Selman
dc.contributor.authorSevin, Abdulvahap
dc.contributor.authorGurpinar, Kagan
dc.contributor.authorAsliyuksek, Hizir
dc.contributor.authorOrhan, Elif Kocasoy
dc.date.accessioned2024-07-12T21:37:16Z
dc.date.available2024-07-12T21:37:16Z
dc.date.issued2021en_US
dc.department[Belirlenecek]en_US
dc.description.abstractAim: Obstetrical brachial plexopathy (OBP) is the loss of function of the brachial plexus due to a traumatic, idiopathic, or iatrogenic reason since birth. OBP mostly occurs with a traumatic background that is secondary to a difficult birth. In this study, we aimed to investigate the medical characteristics of the OBP cases, which were evaluated for malpractice reasons by the Forensic Medicine and define the features that should be considered in the forensic evaluation of OBP. Methods: The medical files of all cases with OBP evaluated in the 2nd Specialization Board of the Council of Forensic Medicine between 2013 and 2017 due to malpractice were included in the study. The dates of birth, maternal ages, comorbid diseases of the mother, the number of pregnancies, birthplaces and birth weeks, birth weights, and additional comorbid pathologies were investigated retrospectively. Results: A total of 287 cases were evaluated in this study. The mean age of forensic evaluation was found to be 2.9 +/- 2.3 years. All patients were born with vaginal delivery except one caesarean case. In 55% of cases had shoulder dystocia, 16% clavicle fracture, 4% humerus fracture and humeral head dislocation were detected. 23.3% of the cases had a history of a difficult birth and 11.5 % had assisted delivery. In 45% of cases had developmental pathologies accompanied by hypotonia. None of the cases were evaluated as medical malpractice. Conclusion: Standard medical records of cases with OBPs contained sufficient information for neurological and forensic evaluation. Our study shows the OBP's does not only originate from the traumatic etiology; about half of the cases have different comorbid pathologies, especially neurodevelopment problems. In order to achieve standardization and understand the comorbidities of plexopathy better, it would be appropriate to expand the medical data in detail.en_US
dc.identifier.doi10.4274/haseki.galenos.2021.7332
dc.identifier.endpage392en_US
dc.identifier.issn1302-0072
dc.identifier.issn2147-2688
dc.identifier.issue5en_US
dc.identifier.scopus2-s2.0-85120554416en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage388en_US
dc.identifier.urihttps://doi.org/10.4274/haseki.galenos.2021.7332
dc.identifier.urihttps://hdl.handle.net/20.500.12415/6725
dc.identifier.volume59en_US
dc.identifier.wosWOS:000729649700007en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.language.isoenen_US
dc.publisherGalenos Publ Houseen_US
dc.relation.ispartofHaseki Tip Bulteni-Medical Bulletin of Hasekien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmzKY04067
dc.subjectBrachial Plexus Neuropathiesen_US
dc.subjectBrachial Plexusen_US
dc.subjectParturitionen_US
dc.subjectObstetricen_US
dc.subjectMalpracticeen_US
dc.titleEvaluation of the Obstetrical Brachial Plexus Injuries with Forensic Perspectiveen_US
dc.typeArticle
dspace.entity.typePublication

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