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International Orthopaedics
Erschienen in: International Orthopaedics 4/2014

01.04.2014 | Original Paper

Muscle transfers in children and adults improve external rotation in cases of obstetrical brachial plexus paralysis: a comparative study

verfasst von: Jiří Chomiak, Pavel Dungl, Martin Ošťádal, Monika Frydrychová, Michal Burian

Erschienen in: International Orthopaedics | Ausgabe 4/2014

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Abstract

Purpose

Latissimus dorsi and teres major transfers to the lateral side of the humerus with lengthening of the pectoralis major and subscapularis muscles for residual shoulder deformity were compared in children and skeletally mature patients.

Methods

Fifteen patients (nine children, six skeletally mature patients aged three to 30 years, follow-up one to 22 years) were treated for internal shoulder contracture after birth plexus lesions: C5–C6 (seven patients); C5–7 (five patients); C5-C8-T1 (three patients, respectively). Range of movement, Mallet shoulder function score and radiographs were assessed.

Results

Pre-operatively, shoulder function restrictions were comparable in all patients. Postoperatively, external rotation, abduction and Mallet function score improved significantly (p < 0.05) in all patients except one. There were no differences in improvement between children and skeletally mature patients (p = 0.24–1.0).

Conclusions

This technique improves external rotation and abduction of the shoulder for daily living activities in children and young, skeletally mature, patients.
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Metadaten
Titel
Muscle transfers in children and adults improve external rotation in cases of obstetrical brachial plexus paralysis: a comparative study
verfasst von
Jiří Chomiak
Pavel Dungl
Martin Ošťádal
Monika Frydrychová
Michal Burian
Publikationsdatum
01.04.2014
Verlag
Springer Berlin Heidelberg
Erschienen in
International Orthopaedics / Ausgabe 4/2014
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-013-2202-0

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