The outcome of soft-tissue release and tendon transfer in shoulders with brachial plexus birth palsy
| Autor: | Manijhe Zamir-Azad, G H Shahcheraghi, Mahzad Javid |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Shoulder surgery Shoulders shoulder medicine.medical_treatment Diseases of the musculoskeletal system tendon lengthening Tendon transfer Deformity Medicine Orthopedics and Sports Medicine neonatal brachial plexus palsy Brachial plexus brachial plexus neuropathies Orthopedic surgery Palsy business.industry Miscellaneous Tendon Surgery tendon transfer medicine.anatomical_structure RC925-935 medicine.symptom Contracture business RD701-811 |
| Zdroj: | JSES International, Vol 5, Iss 5, Pp 905-911 (2021) JSES International |
| ISSN: | 2666-6383 |
| Popis: | Background: Shoulder involvement in brachial plexus birth palsy is common, and the adduction, internal rotation contracture deformity often requires some form of surgical treatment. There are very few long-term reports on release of contracted muscles and tendon transfers, especially in older children. We are reporting the single-center results of such a surgery with detailed outcome analysis. Methods: The prospectively collected data from brachial plexus birth palsy cases who had undergone contracture release and tendon transfer were retrospectively studied and examined. The new Mallet and functional scores were compared with the original data forms and then analyzed. The radiographic evidence of glenoid dysplasia and its correlation with age and functional outcome was assessed. Results: A total of 82 cases with surgery at mean age of 9.5 ± 5.09 years and a follow-up of 8 ± 3.8 (3-20) years entered the study. Of these, 56% of cases had 7 to 20 years of age at surgery. Fifty-four (66%) patients had only shoulder surgery, and 28 (34%) required additional reconstructive surgeries for hand and wrist. Moderate to severe glenohumeral dysplasia was present in 38%. The preoperative Mallet score of 10.6 ± 2.97 improved to 19.3 ± 3.39 (P |
| Databáze: | OpenAIRE |
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