Tags

Type your tag names separated by a space and hit enter

Humeral internal rotation osteotomy for the treatment of Erb-Duchenne-type obstetric palsy: clinical and radiographic results.

Abstract

OBJECTIVE

To evaluate the functional and radiographic results in patients undergoing shoulder anterior soft tissue stretching in association with open reduction and internal rotation osteotomy to centralize the humeral head as a treatment for Erb-Duchenne obstetric palsy sequelae.

METHOD

A total of 35 patients underwent this surgical treatment, and the mean follow-up was 4.6 years. The Mallet scale was applied before and after the surgical procedure. A total of 20 patients underwent computed tomography to assess the glenoid version and humeral head subluxation.

RESULTS

Functional improvement was achieved, as evidenced by an increase in the Mallet scale score from 12.14 to 16.46 (p<0.001). The correction of retroversion was achieved once the glenoid version ranged from -21.4 to -12 degrees (p<0.001). The humeral head subluxation improved from 6.5 to 35.2% (p<0.001). Patients older than 6 years of age did not achieve glenohumeral joint improvement with respect to dysplastic abnormalities.

CONCLUSION

Internal rotation osteotomy in association with the stretching of anterior soft tissues of the shoulder in patients under the age of 7 years provided improvements in the function, retroversion, and subluxation of the glenohumeral joint.

Links

  • PMC Free PDF
  • PMC Free Full Text
  • FREE Publisher Full Text
  • Authors+Show Affiliations

    ,

    Department of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.

    , , , , , ,

    Source

    Clinics (Sao Paulo, Brazil) 68:7 2013 Jul pg 928-33

    MeSH

    Age Factors
    Brachial Plexus Neuropathies
    Child
    Child, Preschool
    Female
    Follow-Up Studies
    Humans
    Humeral Head
    Infant
    Male
    Osteotomy
    Postoperative Period
    Preoperative Period
    Recovery of Function
    Rotation
    Shoulder Joint
    Tomography, X-Ray Computed
    Treatment Outcome

    Pub Type(s)

    Evaluation Studies
    Journal Article

    Language

    eng

    PubMed ID

    23917655

    Citation

    Assunção, Jorge Henrique, et al. "Humeral Internal Rotation Osteotomy for the Treatment of Erb-Duchenne-type Obstetric Palsy: Clinical and Radiographic Results." Clinics (Sao Paulo, Brazil), vol. 68, no. 7, 2013, pp. 928-33.
    Assunção JH, Ferreira AA, Benegas E, et al. Humeral internal rotation osteotomy for the treatment of Erb-Duchenne-type obstetric palsy: clinical and radiographic results. Clinics (Sao Paulo). 2013;68(7):928-33.
    Assunção, J. H., Ferreira, A. A., Benegas, E., Bolliger, R. N., Prada, F. S., Malavolta, E. A., ... Camanho, G. L. (2013). Humeral internal rotation osteotomy for the treatment of Erb-Duchenne-type obstetric palsy: clinical and radiographic results. Clinics (Sao Paulo, Brazil), 68(7), pp. 928-33. doi:10.6061/clinics/2013(07)07.
    Assunção JH, et al. Humeral Internal Rotation Osteotomy for the Treatment of Erb-Duchenne-type Obstetric Palsy: Clinical and Radiographic Results. Clinics (Sao Paulo). 2013;68(7):928-33. PubMed PMID: 23917655.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Humeral internal rotation osteotomy for the treatment of Erb-Duchenne-type obstetric palsy: clinical and radiographic results. AU - Assunção,Jorge Henrique, AU - Ferreira,Arnaldo Amado Neto, AU - Benegas,Eduardo, AU - Bolliger,Raul Neto, AU - Prada,Flávia Santis, AU - Malavolta,Eduardo Angeli, AU - Gracitelli,Mauro Emilio Conforto, AU - Camanho,Gilberto Luis, PY - 2013/01/16/received PY - 2013/03/08/accepted PY - 2013/8/7/entrez PY - 2013/8/7/pubmed PY - 2014/4/10/medline SP - 928 EP - 33 JF - Clinics (Sao Paulo, Brazil) JO - Clinics (Sao Paulo) VL - 68 IS - 7 N2 - OBJECTIVE: To evaluate the functional and radiographic results in patients undergoing shoulder anterior soft tissue stretching in association with open reduction and internal rotation osteotomy to centralize the humeral head as a treatment for Erb-Duchenne obstetric palsy sequelae. METHOD: A total of 35 patients underwent this surgical treatment, and the mean follow-up was 4.6 years. The Mallet scale was applied before and after the surgical procedure. A total of 20 patients underwent computed tomography to assess the glenoid version and humeral head subluxation. RESULTS: Functional improvement was achieved, as evidenced by an increase in the Mallet scale score from 12.14 to 16.46 (p<0.001). The correction of retroversion was achieved once the glenoid version ranged from -21.4 to -12 degrees (p<0.001). The humeral head subluxation improved from 6.5 to 35.2% (p<0.001). Patients older than 6 years of age did not achieve glenohumeral joint improvement with respect to dysplastic abnormalities. CONCLUSION: Internal rotation osteotomy in association with the stretching of anterior soft tissues of the shoulder in patients under the age of 7 years provided improvements in the function, retroversion, and subluxation of the glenohumeral joint. SN - 1980-5322 UR - https://www.unboundmedicine.com/medline/citation/23917655/Humeral_internal_rotation_osteotomy_for_the_treatment_of_Erb-Duchenne-type_obstetric_palsy:_clinical_and_radiographic_results L2 - http://www.scielo.br/scielo.php?script=sci_arttext&amp;pid=S1807-59322013000700928&amp;lng=en&amp;nrm=iso&amp;tlng=en DB - PRIME DP - Unbound Medicine ER -