Document Detail


Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury.
MedLine Citation:
PMID:  20130887     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: The purpose of this study was to evaluate long-term shoulder functional outcomes from a triangle tilt procedure on obstetric patients, who initially presented with medial rotation contracture and scapular deformity secondary to obstetric brachial plexus injury. METHODS: We retrospectively studied long-term outcomes both functionally and anatomically in 61 patients (age ranging from 2 to 12 years). Functional movements were evaluated and scored using a modified Mallet scale at different time intervals: preoperatively, 1 year and 2 year following triangle tilt surgery. Shoulder anatomy was examined on radiologic images to evaluate the severity of shoulder deformities preoperatively and anatomical improvement after the surgery. RESULTS: All shoulder functional movements were significantly improved at 1 and 2 year follow-ups. Functional improvements were maintained in shoulder abduction, external rotation and hand-to-mouth movements beyond the first year, and continued in hand-to-neck and hand-to-spine movements past 2 years. Remarkable glenohumeral remodeling or reservation of glenoid congruence was observed in all patients over a mean time of 27 months postoperatively. CONCLUSION: The triangle tilt procedure, which addresses scapular and glenohumeral joint abnormalities characteristic of Erb's palsy, improves shoulder functional movements and anatomical structure in patients over the long-term.
Authors:
Rahul K Nath; Xiaomei Liu; Sonya E Melcher; Jilao Fan
Related Documents :
9258827 - Functional treatment of humeral shaft fractures: indications and results.
6670517 - Resection of the lateral end of the clavicle. a 3 to 30-year follow-up.
7794427 - The arthroscopic mumford procedure: an analysis of results.
18319347 - Shoulder strength after open versus arthroscopic stabilization.
15358327 - Colonic interposition vs. gastric pull-up after total esophagectomy.
23021927 - Criteria and limitations for selecting a sagittal split ramus osteotomy for patients wi...
Publication Detail:
Type:  Journal Article     Date:  2010-02-04
Journal Detail:
Title:  Pediatric surgery international     Volume:  26     ISSN:  1437-9813     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-18     Completed Date:  2010-06-24     Revised Date:  2010-09-28    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  393-9     Citation Subset:  IM    
Affiliation:
Texas Nerve and Paralysis Institute, Houston, USA. drnath@drnathmedical.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Birth Injuries / complications,  radiography,  surgery*
Brachial Plexus / injuries*,  radiography,  surgery*
Brachial Plexus Neuropathies / etiology,  radiography,  surgery*
Child
Child, Preschool
Contracture / etiology,  radiography,  surgery*
Female
Follow-Up Studies
Humans
Male
Range of Motion, Articular
Reconstructive Surgical Procedures / methods*
Retrospective Studies
Severity of Illness Index
Shoulder Joint / radiography,  surgery
Treatment Outcome
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Technologies, techniques and tactics for micro-incision cataract surgery.
Next Document:  Prognostic value of galectin-3, a novel marker of fibrosis, in patients with chronic heart failure: ...