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Humeral internal rotation osteotomy for the treatment of Erb-Duchenne-type obstetric palsy: clinical and radiographic results.
Clinics (Sao Paulo) 2013; 68(7):928-33C

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.

Authors+Show Affiliations

Department of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo, São Paulo, SP, Brazil.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

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 -