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Glenoid osteotomy with various tendon transfers for brachial plexus birth palsy: clinical outcomes.
Zargarbashi, Ramin; Rabie, Hamid; Panjavi, Behnam; Kamran, Hooman; Mosalamiaghili, Seyedarad; Erfani, Zohre; Mirghaderi, Seyed Peyman; Salimi, Maryam.
Afiliación
  • Zargarbashi R; Pediatric Orthopaedic Surgery, Children's Medical Center, Tehran University of Medical Science, Tehran, Iran.
  • Rabie H; Orthopaedic Surgery Department, Shariati Hospital and School of Medicine, Tehran University of Medical Sciences, Tehran, Iran.
  • Panjavi B; Pediatric Orthopaedic Surgery, Children's Medical Center, Tehran University of Medical Science, Tehran, Iran.
  • Kamran H; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Mosalamiaghili S; Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Erfani Z; Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran.
  • Mirghaderi SP; Students' Scientific Research Center (SSRC), Tehran University of Medical Sciences, Tehran, Iran.
  • Salimi M; Bone and Joint Diseases Research Center, Department of Orthopedic Surgery, Shiraz University of Medical Sciences, Shiraz, Iran. Electronic address: salimimaryam7496@gmail.com.
J Shoulder Elbow Surg ; 32(2): e60-e70, 2023 Feb.
Article en En | MEDLINE | ID: mdl-36115612
BACKGROUND: Posterior shoulder dislocation is one of the disabling complications of brachial plexus birth injury (BPBI), and various treatment options including capsule and surrounding muscles release for open reduction, humeral derotational osteotomy, and tendon transfers have been recommended to manage it. In the present study, we aimed to determine the clinical outcome of open reduction with soft tissue release, tendon transfer, and glenoid osteotomy in patients with BPBI and posterior shoulder dislocation or subluxation. METHODS: From 2018 to 2020, 33 patients who underwent open reduction, glenoid osteotomy, and tendon transfer were included. The glenohumeral deformity was classified according to the Waters radiographic classification. Functional assessment was performed using the Mallet grading system before and at least 2 years after the surgery. RESULTS: The patients were monitored for 26.88 ± 5.47 months. Their average age was 27.5 ± 14 months. Significant improvement was seen in the overall Mallet score (from 13.5 to 18.91 points) and its segments including hand-to-mouth, hand-to-neck, global abduction, global external rotation, abduction range of motion (ROM), and external rotation ROM. Hand-to-back score and the presence of a Trumpet sign were significantly decreased in the postoperation phase (all P values < .001). The above-mentioned variables significantly changed for both infantile and noninfantile dislocations. CONCLUSION: Our study demonstrated that open reduction along with glenoid osteotomy improves retroversion, and muscle strengthening with different muscle transfers is an effective technique for BPBI.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Luxación del Hombro / Articulación del Hombro / Traumatismos del Nacimiento / Plexo Braquial / Neuropatías del Plexo Braquial / Luxaciones Articulares Límite: Child, preschool / Humans / Infant Idioma: En Revista: J Shoulder Elbow Surg Asunto de la revista: ORTOPEDIA Año: 2023 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Luxación del Hombro / Articulación del Hombro / Traumatismos del Nacimiento / Plexo Braquial / Neuropatías del Plexo Braquial / Luxaciones Articulares Límite: Child, preschool / Humans / Infant Idioma: En Revista: J Shoulder Elbow Surg Asunto de la revista: ORTOPEDIA Año: 2023 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Estados Unidos