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Birth Related Brachial Plexus Injury Animation 

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Go To Commentary on Obstetrical Brachial Plexus Injuries

 

Diagnosis of Shoulder Dsytocia:

Turtle Sign (70K)
Download Time @ 1.5k per second (14,400 baud) = 0.8 min.
Download Time @ 3.0k per second (28,800 baud) = 0.4 min.

Proper Obstetrical Maneuvers:


Fracture Fetus' Clavicle (145K)
Download Time @ 1.5k per second (14,400 baud) = 1.6min.
Download Time @ 3.0k per second (28,800 baud) = 0.8 min.

Suprapubic Pressure
(90K)
Download Time @ 1.5k per second (14,400 baud) = 1.0 min.
Download Time @ 3.0k per second (28,800 baud) = 0.5 min.

McRobert's Maneuver (230K)
Download Time @ 1.5k per second (14,400 baud) = 2.6min.
Download Time @ 3.0k per second (28,800 baud) = 1.3 min.

Ruben's Maneuver- Side View (280K)
Download Time @ 1.5k per second (14,400 baud) = 3.2min.
Download Time @ 3.0k per second (28,800 baud) = 1.6 min.

Ruben's Maneuver- Physician's View (140K)
Download Time @ 1.5k per second (14,400 baud) = 1.6 min.
Download Time @ 3.0k per second (28,800 baud) = 0.8 min.

Delivery of Posterior Shoulder First (250K)
Download Time @ 1.5k per second (14,400 baud) = 2.8 min.
Download Time @ 3.0k per second (28,800 baud) = 1.4 min.

Woods Maneuver, Physician's View (260K)
Download Time @ 1.5k per second (14,400 baud) = 2.9 min.
Download Time @ 3.0k per second (28,800 baud) = 1.5 min.

Obstetrical Maneuvers Which Might Also Be Needed:

Nuchal Cord- Pulling (80K)
Download Time @ 1.5k per second (14,400 baud) = 0.9min.
Download Time @ 3.0k per second (28,800 baud) = .05 min.

Nuchal Cord- Cutting (145K)
Download Time @ 1.5k per second (14,400 baud) = 1.6 min.
Download Time @ 3.0k per second (28,800 baud) = 0.8 min.


Inappropriate Obstetrical Maneuvers:

Excessive Downward Lateral Traction: type 1(155K)
Download Time @ 1.5k per second (14,400 baud) = 1.7min.
Download Time @ 3.0k per second (28,800 baud) = 0.9min.

Excessive Downward Lateral Traction: type 2 (155K)
Download Time @ 1.5k per second (14,400 baud) = 1.7min.
Download Time @ 3.0k per second (28,800 baud) = 0.9min.

Excessive Downward Lateral Traction with Nerves (120K)
Download Time @ 1.5k per second (14,400 baud) = 1.3min.
Download Time @ 3.0k per second (28,800 baud) = 0.7min.

Fundel Pressure (96K)
Download Time @ 1.5k per second (14,400 baud) = 1.1min.
Download Time @ 3.0k per second (28,800 baud) = 0.6 min.

Animation based on actual video of a brith where infant suffered bp injury
Download Time @ 1.5k per second (14,400 baud) = 12.52min.
Download Time @ 3.0k per second (28,800 baud) = 6.8min.

Animation based on actual video of cord being compressed by shoulder during contraction
Animation size: 752k

Animation based on actual video of cord being compressed by shoulder during contraction with McRoberts Maneuver being applied to relieve compression
Animation size: 656k

Animation based on actual video of cord being compressed during contraction by side of head during contraction with McRoberts Maneuver being applied to relieve compression
Animation size: 444k


Nature of Injury Suffered from Excessive Lateral Traction:


Brachial Plexus Nerve Conduction- Normal Nerve

Download Time @ 1.5k per second (14,400 baud) = 2.4 min.
Download Time @ 3.0k per second (28,800 baud) = 1.2 min.

Brachial Plexus Nerve Conduction- Stretching

Download Time @ 1.5k per second (14,400 baud) = 2.4 min.
Download Time @ 3.0k per second (28,800 baud) = 1.2 min.

Full arm view showing stretching of Brachial Plexus during excessive lateral traction

Download Time @ 1.5k per second (14,400 baud) = 0.9min.
Download Time @ 3.0k per second (28,800 baud) = 0.5 min.

Close Up of Brachial Plexus during excessive lateral traction

Download Time @ 1.5k per second (14,400 baud) = 6.3min.
Download Time @ 3.0k per second (28,800 baud) = 3.2 min.
 

Other Obstetrical Animation:

Example

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