‘Switch’ technique to restore pronation and radial deviation in 17 patients with brachial plexus birth palsy

Abstract

We report outcomes of 17 children with brachial plexus birth palsy that underwent extensor carpi ulnaris to brachioradialis and brachioradialis to abductor pollicis longus transfers to correct supination and ulnar deviation deformity. Mean age at the time of surgery was 8.7 years and mean follow-up time was 21 months (8–44). These patients had marked increases in active forearm rotation and Canadian Occupational Performance Measure scores. Activity performance score on the measure increased from 1.1 to 6.7 and satisfaction score increased from 0.8 to 8.7 at final follow-up. We conclude from our patient series that these tendon transfers are effective in correction of the supination and ulnar deviation deformities in brachial plexus birth palsy. Level of evidence: IV

Forearm and elbow secondary surgical procedures in neonatal brachial plexus palsy: a systematic scoping review

“… soft tissue 2018 19 4 6 elbow flexion restoration augmenting of active supination, supple deformity Garcia-Lopez 14 Anterior Release of Elbow Flexion Contractures in Children With Obstetrical Brachial Plexus Lesions soft tissue 2012 10 3 11.1 elbow flexion contracture to augment elbow flexion, supple deformity Price 38 Result of modified Outerbridge-Kashiwagi procedure for elbow flexion contractures in brachial plexus birth injury. botulinum toxin 2019 10 3.19167 14.8333 elbow flexion contracture to release pronation contracture via pronator lengthening/release av lacertus fibrosus, fixed and supple deformity Amrani 3 Pronator teres transfer to correct pronation deformity of the forearm after an obstetrical brachial plexus injury soft tissue 2009 14 1.7 7.6 pronation contracture to release elbow flexion contracture with biceps lengthening, fixed deformity Liggio 22 Outcome of surgical treatment for forearm pronation deformities in children with obstetric brachial plexus injuries soft tissue 1999 7 8 pronation contracture to augment elbow flexion, supple deformity Özkan 33 'Switch' technique to restore pronation and radial deviation in 17 patients with brachial plexus birth palsy. soft tissue 2019 17 1.75 8.7 supination and ulnar deviation to augment elbow extension, supple deformity Nath 31 Significant improvement in nerve conduction, arm length, and upper extre...…”