Arthroscopic isolated capsular release for shoulder contracture after brachial plexus birth palsy: clinical outcomes in a prospective cohort of 28 children with 2 years' follow-up

Ruyer, Justin; Grosclaude, Sophie; Lacroix, Philippe; Jardel, S.; Gazarian, Aram

doi:10.1016/j.jse.2018.01.022

Cited by 8 publications

(2 citation statements)

References 18 publications

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“…Miyazaki reported on arthroscopic anterior release of the shoulder joint in a complex with transposition of the pectoralis major muscle supplemented with a homologous tendon graft and fixed in the posterior-superior part of the greater tubercle of the humerus. However, the technique had complications in the form of violation of medial rotation and imbalance of the shoulder joint [69].…”

Section: Results and Their Discussionmentioning

confidence: 99%

Birth Injury, Duchenne-Erbʼs Obstetric Palsy. Diagnosis and Treatment (Literature Review)

Khmyzov,

Hrytsenko,

Kykosh

et al. 2023

OTP

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Obstetric practice dates back thousands of years, providing assistance to women in labor is often complicated by the rapid course of labor, pelvic presentation of the fetus, shoulder dystocia with a possible clavicle fracture. Damage to CV–CVI roots, classic Duchenne–Erb palsy, accounts for 46 % of the total number of obstetric palsies. Objective. To analyze the scientific and medical literature in order to identify historical scientific and practical information about the study of childbirth injuries, and, in particular, Duchenne–Erb's obstetric palsy. Methods. To study and analyze sources of scientific and medical information, publications from Google search engines, electronic databases PubMed, Google Scholar, archival medical journals. Results. The first data on obstetric paralysis were provided by Duchesne in 1872, highlighting thorough reports on upper extremity muscle damage. Subsequently, in 1874, Erb performed electrical stimulation of the affected muscles, finding out the zone of neurological damage. The history of the development and formation of this scientific issue is quite ambiguous, because it borders on two medical fields: neurosurgery and orthopedics. According to literary sources, it is obvious that the pathohistology and pathophysiology of the direct injury zone (roots CV–CVI), delayed changes in the function of the upper limb, and the latest diagnostic technologies simplify the understanding of the presentation. The existing methods of operative interventions allow physicians to improve the child's life. However, the question remains open regarding the use of certain operative interventions in relation to the child's age and further rehabilitation. Conclusions. Despite a significant stratum of scientific and practical research on Duchenne–Erb's obstetric palsy, there are still a number of questions regarding the diagnosis and treatment of children with this abnormality. The search for improving the functional state of the upper limb in children should continue.

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Section: Results and Their Discussionmentioning

confidence: 99%

Birth Injury, Duchenne-Erbʼs Obstetric Palsy. Diagnosis and Treatment (Literature Review)

Khmyzov,

Hrytsenko,

Kykosh

et al. 2023

OTP

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“…The patients suffer not only from motor deficits limiting use of the upper limb but are affected also by a cosmetic deformity, with issues such as length discrepancy and size of the arm ( 8 ). To resolve these deformities a wide range of procedures are available, including those that focus on soft tissue such as muscle transfers and joint releases or those affecting bony elements ( 9 , 10 ). Bony procedures, such as osteotomies are historically done only by orthopaedic surgeons and involve the usage of hardware, whereas soft tissue procedures range more widely in the type of surgeon completing the procedure and are commonly less invasive than bony procedures.…”

Section: Introductionmentioning

confidence: 99%

Outcomes of humeral osteotomies versus soft-tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy: a meta-analysis

Azer,

Mendiratta,

Saad

et al. 2023

Front. Surg.

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Secondary surgical procedures can be used in brachial plexus birth injury to correct shoulder movement imbalances. This study compares outcomes of the two secondary surgical procedure types: humeral osteotomies and soft tissue procedures. Outcome measures assessed included active and passive internal and external rotation, active and passive abduction and adduction, active and passive flexion and extension, percentage of the humeral head anterior to the middle glenoid fossa, glenoid version, and Mallet Score. Nineteen full-text articles were included in the analysis. Humeral osteotomies resulted in a loss of internal rotation postoperatively (−15.94°). Active internal rotation was not evaluated for soft tissue procedures. All other assessed outcomes were improved postoperatively for bony and soft tissue procedures. Bony procedures exhibited a greater degree of active external rotation postoperatively when compared to soft tissue procedures (+67° vs. +40°). Both bony and soft tissue procedures Improve shoulder function in children with neonatal brachial plexus palsy, however, soft tissue procedures showed greater consistency in outcomes.Level of Evidence: IV

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Surgical Soft Tissue Management for Glenohumeral Deformity and Contractures in Brachial Plexus Birth Injury

McKellar

Kay

Memon

et al. 2022

Curr Rev Musculoskelet Med

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Arthroscopic isolated capsular release for shoulder contracture after brachial plexus birth palsy: clinical outcomes in a prospective cohort of 28 children with 2 years' follow-up

Cited by 8 publications

References 18 publications

Birth Injury, Duchenne-Erbʼs Obstetric Palsy. Diagnosis and Treatment (Literature Review)

Birth Injury, Duchenne-Erbʼs Obstetric Palsy. Diagnosis and Treatment (Literature Review)

Outcomes of humeral osteotomies versus soft-tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy: a meta-analysis

Surgical Soft Tissue Management for Glenohumeral Deformity and Contractures in Brachial Plexus Birth Injury

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