Document Detail


Long-term results of low rotation humeral osteotomy in children with Erb's obstetric brachial plexus palsy.
MedLine Citation:
PMID:  19675029     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Seventeen children with Erb's (C5/6 and C5/6/7 types) obstetric brachial plexus palsy who underwent low rotation humeral osteotomy to treat internal rotation contracture of the shoulder were recalled back to the clinic at a mean of 10 (range 8-14) years after surgery. Eight were male and nine female with mean age of 16 (range 13-20) years. The osteotomy procedure was done at a mean age of 6 (range 5-8) years. Preoperative, early postoperative, and late postoperative motor assessments were compared. There was no recurrence of the internal rotation posturing of the shoulder and there was maintenance of the improvements in elbow extension deficit and forearm rotation. The most surprising finding was a significant (P = 0.003) decrease in shoulder abduction on long-term follow-up (the mean shoulder abduction was 135 degrees , 146 degrees and 109 degrees measured pre-, early post- and late postoperatively, respectively). There was no correlation between changes in shoulder abduction and the radiological score of the shoulder.
Authors:
M M Al-Qattan; H Al-Husainan; A Al-Otaibi; M S El-Sharkawy
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery, European volume     Volume:  34     ISSN:  1532-2211     ISO Abbreviation:  -     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-13     Completed Date:  2009-10-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101315820     Medline TA:  J Hand Surg Eur Vol     Country:  England    
Other Details:
Languages:  eng     Pagination:  486-92     Citation Subset:  IM    
Affiliation:
Department of Surgery, King Saud University, Riyadh, Saudi Arabia. moqattan@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Birth Injuries / physiopathology,  radiography,  surgery*
Brachial Plexus / injuries*
Brachial Plexus Neuropathies / physiopathology,  radiography,  surgery*
Contracture / surgery*
Elbow Joint / physiopathology,  radiography
Female
Follow-Up Studies
Humans
Humerus / radiography,  surgery*
Male
Osteotomy / methods*
Postoperative Complications / physiopathology,  radiography
Range of Motion, Articular / physiology
Shoulder Joint / physiopathology,  radiography
Young Adult

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


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