Arthroscopic versus open release of internal rotation contracture in the obstetrical brachial plexus paralysis (OBPP) sequela

Pehlivanoğlu, Tuna; Erşen, Ali; Bayram, Serkan; Atalar, Ata Can; Demirhan, Mehmet

doi:10.1016/j.jse.2018.06.020

Cited by 7 publications

(4 citation statements)

References 45 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Abdel-Ghani et al 12 concluded that subscapularis slide improves internal rotational contracture sufficiently, thus excluding the need of releasing the subscapularis at its insertion. Pehlivanoglu et al 13 reported superior functional outcome after arthroscopic release of the capsule and subscapularis compared with open release.…”

Section: Discussionmentioning

confidence: 99%

Comparing the Results of Latissimus Dorsi Versus Teres Major Transfer in Children With Obstetric Brachial Plexus Injury and Residual Shoulder Sequelae

Ibrahim

Abdelmaksoud²,

Ahmad³

et al. 2023

Ann Plast Surg

View full text Add to dashboard Cite

BackgroundObstetric brachial plexus injury (OBPI) remains a fairly common problem in newborns despite the improved obstetric care. Children who do not show complete recovery often present with residual shoulder deformity of limited external rotation and abduction. Secondary interventions in the form of tendon transfer and soft tissue release are aimed at correcting the implicated muscular imbalance to restore shoulder function.AimThe aim of this work was to compare the results of latissimus dorsi versus teres major tendon transfer in patients with OBPI with limited shoulder external rotation.Patients and MethodsThis study included 40 patients admitted to El Hadara University Hospital with OBPI and limited shoulder abduction and external rotation aged between 1.5 and 4 years. Half of the patients had a latissimus dorsi transfer, and the other half, a teres major one. Children with limited preoperative passive external rotation in both groups required a subscapularis slide. Patients were evaluated preoperatively, at 6 months, and 12 months postoperatively using the Gilbert scale.ResultsTeres major tendon transfer showed better results in restoring limited shoulder abduction and external rotation than latissimus dorsi transfer. Limited shoulder internal rotation was the main complication occurring postoperatively. Loss of the last degree of internal rotation occurred in most patients who had subscapularis slide. Most patients regained functional midline abilities with physiotherapy and required no further interventions.ConclusionsIsolated teres major transfer has shown better results in improving the range of external rotation and abduction compared with isolated latissimus dorsi tendon transfer. Age of the patients did not affect the overall final improvement in shoulder range of motion. Limited internal rotation is the main complication postoperatively, which was prevalent in patients who required a subscapularis slide but was not statistically significant.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparing the Results of Latissimus Dorsi Versus Teres Major Transfer in Children With Obstetric Brachial Plexus Injury and Residual Shoulder Sequelae

Ibrahim

Abdelmaksoud²,

Ahmad³

et al. 2023

Ann Plast Surg

View full text Add to dashboard Cite

show abstract

“…Various treatment options have been suggested, including LD tendon transfer, anterior open SS release or SS muscle sliding, full or partial release of the SS muscle, and humerus derotational osteotomies [ 1 , 2 , 5 , 9 , 15 ]. In this study, we performed a functional comparison between internal rotation anterior open SS release and SS muscle sliding.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, we performed surgery in patients aged 1.5–5 years who had no advanced glenohumeral deformities to provide a chance for growth-driven joint remodeling, as indicated in the literature [ 1 , 2 , 5 , 9 ]. These studies have suggested that such children should undergo surgery as early as possible to avoid worsening of glenohumeral deformation, which leads to severe internal rotation contractures, resulting in poor surgical outcomes.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of latissimus dorsi tendon transfer with subscapularis release versus sliding of internal rotation contracture in obstetrical brachial plexus paralysis sequela

et al. 2022

View full text Add to dashboard Cite

Background The purpose of this study was to compare the functional results of latissimus dorsi (LD) tendon transfer with those of subscapularis (SS) muscle release versus sliding. Methods Fifty-six patients with internal rotation contracture and external rotation (ER) weakness as sequelae of Erb’s palsy were included in the study. Of the patients, 24 were included in group 1 (11 boys and 13 girls), with a mean age of 2 years 8 months (range 1.5–5 years) and a follow-up period of 62 months (range 38–68 months). The patients in group 1 underwent LD tendon transfer, with internal rotation contracture and SS release procedures. Thirty-two patients were included in group 2 (18 boys and 14 girls), with a mean age of 2 years 6 months (range 1.5–4.8 years) and a follow-up period of 58 months (range 38–68 months). The patients in group 2 underwent LD tendon transfer with SS sliding. Results A significant improvement in preoperative passive ER from − 3.6° to 67.3° after operation was observed in group 1. In group 2, preoperative passive ER in adduction improved from 0° to 72.3°. We found no significant difference (P = 0.1) in postoperative improvement in active ER in both groups (group 1 vs. group 2: 75° vs. 77.3°). Similarly, no significant difference (P = 0.7) in postoperative improvement in passive ER was found between the groups (group 1 vs. group 2: 71° vs. 72.3°). Conclusions LD tendon transfer with SS release or sliding is an effective procedure to improve shoulder ER in patients with OBPP, with no inferiority of SS muscle release or sliding for internal rotation contractures and increased passive range of shoulder motion. Level of evidence Level III; Retrospective Cohort Comparison; Treatment Study.

show abstract

Glenohumeral Joint Secondary Procedures for Obstetrical Brachial Plexus Birth Palsy

Cornwall,

King

2023

The Pediatric Upper Extremity

View full text Add to dashboard Cite

Arthroscopic versus open release of internal rotation contracture in the obstetrical brachial plexus paralysis (OBPP) sequela

Cited by 7 publications

References 45 publications

Comparing the Results of Latissimus Dorsi Versus Teres Major Transfer in Children With Obstetric Brachial Plexus Injury and Residual Shoulder Sequelae

Comparing the Results of Latissimus Dorsi Versus Teres Major Transfer in Children With Obstetric Brachial Plexus Injury and Residual Shoulder Sequelae

Comparison of latissimus dorsi tendon transfer with subscapularis release versus sliding of internal rotation contracture in obstetrical brachial plexus paralysis sequela

Glenohumeral Joint Secondary Procedures for Obstetrical Brachial Plexus Birth Palsy

Contact Info

Product

Resources

About