Suivi à long terme des épaules paralytiques obstétricales (à propos de 129 cas)

Guermazi, Mohamed; Ghroubi, S.; Mezghanni, M.; Triki, Fathi; Elleuch, M.

doi:10.1016/j.annrmp.2003.06.002

Cited by 5 publications

(2 citation statements)

References 6 publications

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“…Plain radiography was the most performed investigation. Moussa in Mali [4] and other African authors used radiography as the main means of investigation [1] [11] [17]. This could be due to its availability and affordability.…”

Section: Discussionmentioning

confidence: 99%

Birth Injuries in Neonates at a University Teaching Hospital in Cameroon: Epidemiological, Clinical and Therapeutic Aspects

Mah¹,

Foumane²,

Ngwanou³

et al. 2017

OJPed

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Background: Statistics on birth injuries in Cameroon are scarce, despite its frequency in postnatal consultations; we sort to find its prevalence and contributing factors, the different clinical presentations and treatment methods. Methodology: This was a retrospective, descriptive study. Data on maternal characteristics, neonatal factors, the place of birth and qualification of birth attendant, age at diagnosis, clinical presentation and management were considered. Results: Among the 14,284 newborns that were consulted from January 2003 to February 2014, 263 (1.84%) had birth injuries. The average age at diagnosis was 12 days. The contributing factors were: advanced maternal age, macrosomia, vaginal and instrumental delivery. Birth attendants were mostly nurses and the health center was the place of birth for 57.4% of patients. The main clinical presentations were: obstetric brachial plexus palsy (70.6%), fracture of the clavicle (22.5%) and fracture of the humerus (4.80%). Physiotherapy and orthopedic treatment were methods used with favorable outcome. Conclusion: The frequency of birth injury is relatively high in our context. The diagnosis is late, birth attendants need to be trained and systematic examination of all newborns in delivery room encouraged.

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Section: Discussionmentioning

confidence: 99%

Birth Injuries in Neonates at a University Teaching Hospital in Cameroon: Epidemiological, Clinical and Therapeutic Aspects

Mah¹,

Foumane²,

Ngwanou³

et al. 2017

OJPed

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“…Although many surgeons have advocated the satisfactory results after managing such patients with subscapularis release, latissimus dorsi and teres major tendon transfer, others have noticed a decrease in the post-operative gain on 10-year follow up. However, the end points reached were still higher than untreated patients [23].…”

Section: Discussionmentioning

confidence: 70%

Muscles Transfer around the Shoulder in Cases of Brachial Plexus Birth Palsy

Sobkey¹

2019

OJMN

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Background: Disabling internal rotation contractures are frequently experienced in children with unresolved birth brachial plexus palsies. Multiple surgical options like muscle release, tendon transfer, or humeral osteotomy are available to treat such cases. Purpose: Evaluation of the outcome of subscapularis release and latissimus dorsi and teres major tendon transfer in the management of obstetric brachial palsies in Mansoura University neurosurgical department. Study type: Retrospective observational study. Patients and Methods: Twenty-five cases who underwent subscapularis release and latissimus dorsi and teres major transfer were included in the study. All patients were subjected to complete history taking, through clinical examination. The degree of shoulder movement and disability was assessed via Modified Gilbert shoulder evaluation scale. Results: The least follow up period for our patients was 9 months. There was a clear improvement of shoulder function evaluated using Modified Gilbert shoulder evaluation scale as there were 73% of postoperative group between GIV and GV while about 84% of preoperative group were between GII and GIII. Conclusion: Tendon transfer is a valid easy procedure for correction of shoulder deformities in patients with obstetrical brachial plexus palsy. It is considered a very good option for patients who missed the chance of microsurgical repair or patients with poor shoulder recovery after surgery. Although some authors reported deterioration of shoulder function with log time follow up after tendon transfer, it is still better than those who were not operated.

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