Correction of elbow flexion contracture by means of olecranon resection and anterior arthrolysis in obstetrical brachial plexus palsy sequelae
| Autor: | Jacopo Senes, Emanuela Dapelo, Filippo M. Sénès, Nunzio Catena |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
musculoskeletal diseases medicine.medical_specialty Contracture Adolescent medicine.medical_treatment Olecranon Elbow 030230 surgery Arthroplasty Young Adult 03 medical and health sciences 0302 clinical medicine Birth Injuries Elbow Joint medicine Humans Brachial Plexus Orthopedic Procedures Orthopedics and Sports Medicine Olecranon Process Range of Motion Articular Brachial Plexus Neuropathies 030222 orthopedics Palsy business.industry musculoskeletal system Surgery body regions medicine.anatomical_structure Elbow flexion contracture Pediatrics Perinatology and Child Health Arm medicine.symptom Range of motion business Brachial plexus Follow-Up Studies |
| Zdroj: | Journal of Pediatric Orthopaedics B. 26:14-20 |
| ISSN: | 1060-152X |
| DOI: | 10.1097/bpb.0000000000000309 |
| Popis: | The authors have developed a particular surgical technique (olecranon bone resection together with anterior elbow arthrolysis) to increase the elbow's range of motion in adolescents and young adults suffering from elbow flexion contracture in obstetrical palsy sequelae. The surgical procedure was carried out in a preliminary group of 11 patients. The original procedure included a double incision: first of all by means of a posterior approach to resect the tip of the olecranon and then another incision carried out through the anteromedial aspect of the elbow, with a view to performing the anterior capsulotomy. Preoperatively, the average clinical elbow extension was 64.9°, whereas after surgery, the value increased to 43.63°. The average DASH score was 38.27 points before surgery, whereas it decreased to 29.98 points after surgery. A statistical analysis was also carried out to confirm the outcome. The procedure is reliable, is not time-consuming, and does not lead to any major complications. |
| Databáze: | OpenAIRE |
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