Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury

AIM: The purpose of this study was to evaluate long-term shoulder functional outcomes from a triangle tilt procedure on obstetric patients, who initially presented with medial rotation contracture and scapular deformity secondary to obstetric brachial plexus injury. METHODS: We retrospectively studi...

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Autores principales: Nath, Rahul K., Liu, Xiaomei, Melcher, Sonya E., Fan, Jilao
Formato: Texto
Lenguaje:English
Publicado: Springer-Verlag 2010
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841265/
https://www.ncbi.nlm.nih.gov/pubmed/20130887
http://dx.doi.org/10.1007/s00383-010-2550-4
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author Nath, Rahul K.
Liu, Xiaomei
Melcher, Sonya E.
Fan, Jilao
author_facet Nath, Rahul K.
Liu, Xiaomei
Melcher, Sonya E.
Fan, Jilao
author_sort Nath, Rahul K.
collection PubMed
description AIM: The purpose of this study was to evaluate long-term shoulder functional outcomes from a triangle tilt procedure on obstetric patients, who initially presented with medial rotation contracture and scapular deformity secondary to obstetric brachial plexus injury. METHODS: We retrospectively studied long-term outcomes both functionally and anatomically in 61 patients (age ranging from 2 to 12 years). Functional movements were evaluated and scored using a modified Mallet scale at different time intervals: preoperatively, 1 year and 2 year following triangle tilt surgery. Shoulder anatomy was examined on radiologic images to evaluate the severity of shoulder deformities preoperatively and anatomical improvement after the surgery. RESULTS: All shoulder functional movements were significantly improved at 1 and 2 year follow-ups. Functional improvements were maintained in shoulder abduction, external rotation and hand-to-mouth movements beyond the first year, and continued in hand-to-neck and hand-to-spine movements past 2 years. Remarkable glenohumeral remodeling or reservation of glenoid congruence was observed in all patients over a mean time of 27 months postoperatively. CONCLUSION: The triangle tilt procedure, which addresses scapular and glenohumeral joint abnormalities characteristic of Erb’s palsy, improves shoulder functional movements and anatomical structure in patients over the long-term.
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spelling pubmed-28412652010-03-26 Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury Nath, Rahul K. Liu, Xiaomei Melcher, Sonya E. Fan, Jilao Pediatr Surg Int Original Article AIM: The purpose of this study was to evaluate long-term shoulder functional outcomes from a triangle tilt procedure on obstetric patients, who initially presented with medial rotation contracture and scapular deformity secondary to obstetric brachial plexus injury. METHODS: We retrospectively studied long-term outcomes both functionally and anatomically in 61 patients (age ranging from 2 to 12 years). Functional movements were evaluated and scored using a modified Mallet scale at different time intervals: preoperatively, 1 year and 2 year following triangle tilt surgery. Shoulder anatomy was examined on radiologic images to evaluate the severity of shoulder deformities preoperatively and anatomical improvement after the surgery. RESULTS: All shoulder functional movements were significantly improved at 1 and 2 year follow-ups. Functional improvements were maintained in shoulder abduction, external rotation and hand-to-mouth movements beyond the first year, and continued in hand-to-neck and hand-to-spine movements past 2 years. Remarkable glenohumeral remodeling or reservation of glenoid congruence was observed in all patients over a mean time of 27 months postoperatively. CONCLUSION: The triangle tilt procedure, which addresses scapular and glenohumeral joint abnormalities characteristic of Erb’s palsy, improves shoulder functional movements and anatomical structure in patients over the long-term. Springer-Verlag 2010-02-04 2010 /pmc/articles/PMC2841265/ /pubmed/20130887 http://dx.doi.org/10.1007/s00383-010-2550-4 Text en © The Author(s) 2010 https://creativecommons.org/licenses/by-nc/4.0/ This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.
spellingShingle Original Article
Nath, Rahul K.
Liu, Xiaomei
Melcher, Sonya E.
Fan, Jilao
Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury
title Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury
title_full Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury
title_fullStr Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury
title_full_unstemmed Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury
title_short Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury
title_sort long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2841265/
https://www.ncbi.nlm.nih.gov/pubmed/20130887
http://dx.doi.org/10.1007/s00383-010-2550-4
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