Although many hospitals in  the US have brachial plexus programs - including ours here 
at Charlotte Institute of Rehab in North Carolina - most do not do the surgery that is 
sometimes required.  The following hospital has an excellent reputation as having 
comprehensive approach to brachial plexus palsy and is recommended by our pediatric 
physiatrist.

TEXAS CHILDREN'S HOSPITAL, Houston, Texas
The Brachial Plexus Program
6621 Fannin MC 3-2311
Houston, TX 77030
John P. Laurent, M.D. (832) 824-3290

Rob Koch


binod baranwal <[EMAIL PROTECTED]> wrote:hello biraj wish you a very happy new year 
2004.
I am wondering if any body will suggest me about the best centre to refer this baby 
suffered from Brachial Palsy
I have been treating a 3yrs and 6 month female baby suffered from brachial palsy since 
last one year.
since last 3 months i am finding no improvement in her functional ability specially 
reach over shoulder.Her present situation can be visualized as follows(by means of 
active ranges in degrees)

shoulder. F/A .
Flex. - 95 She can do full pronation from mid prone 
....... Abd - 80 position .while supination is nill.
Ext. - nill
E.Rot.-05 wrist
i. Rot.-05 she can move her wrist till neutral from fully flexed position against 
gravity.
wrist flexers good . 
elbow.- 
Flex.->Ext.- 145 -> 15 

hand function wise she has good grasps [spherical cylindrical and& hook] prehentions 
are comparatively weaker and less co ordinated.

i will be wondering if some body will refer us one of the best centre / 
hospital/organization {with name and address. so that we can contact them.} which can 
improve her functional abilities even at the cost of any precious reconstructive 
surgical procedures.
Although we have fond a sponsor to finance the cost of treatment but it will be 
convenient to us if the particular hospital or organization will suggest us the cost 
of the procedure/s.


The priority of parents is to improve the shoulder range as well as to improve the 
hand function.

It will be great favor to us if you suggest one of the best centerer 
/hospital/organization 's in the following countries because the parents are little 
scared of surgery and feel these places are good. their priority are...
1* Canada
2* U.S.A.
3* ENGLAND&
4*GERMANY
But let me be clear we need the best place where the success rate will be maximum. I 
can convince the parent for any place .
Don't hesitate to suggest us . No body is going to be blamed if the attempt to improve 
the function is not done.we need the best performers only . success is in the hand of 
god.
If any further details needed from our side let us know it would be our pleasure to 
pass it to you.
Thanking you all for hearing us with so much patiently.
Binod,
Occupational Therapist,
Ministry of Health, Kuwait





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