A New Surgical Technique for Internal Shoulder Contractures Secondary to Obstetric Brachial Plexus Injury: An Anterior Coracohumeral Ligament Release

Autor: C. Sarac, S. Hogendoorn, R.G.H.H. Nelissen
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Zdroj: Journal of Brachial Plexus and Peripheral Nerve Injury, Vol 14, Iss 01, Pp e35-e38 (2019)
Druh dokumentu: article
ISSN: 1749-7221
DOI: 10.1055/s-0039-1693746
Popis: Abstract Background Obstetric brachial plexus injuries result from traction injury during delivery; 30% of these children sustain persisting functional limitations related to an external rotation deficit of the shoulder. The aim of this study was to compare the intraoperative gain in external rotation after a posterior subscapular release and an anterior coracohumeral ligament release. Methods This is a prospective study on 102 children with an internal rotation contracture of the shoulder who received either a posterior subscapular release (posterior skin incision along the medial border of the scapula of 3–5 cm) or an anterior (5-mm skin incision) coracohumeral ligament release between 1996 and 2010. After general anesthesia, internal and external rotations in both adduction and abduction were measured before and after the surgical release. Results After a posterior subscapular release, the intraoperative external rotation improved with a mean of 64 degrees (95% confidence interval [CI]: 54–74; p
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