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Role of early shoulder tomography on the obstetric brachial plexus palsy

OBJECTIVE: To demonstrate the importance of performing early shoulder tomography in patients with obstetric brachial plexus palsy (OBPP). METHODS: This series of cases retrospective study with level evidence IV was conducted by consulting 76 patient's medical records with OBPP divided into thre...

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Autores principales: Silva, Bruno Liberato de Souza, Kimura, Luiz Koiti, Crepaldi, Bruno Eiras, Mattar, Rames, Cho, Álvaro Baik, Oviedo, Rubén Montiel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Ortopedia e Traumatologia 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544515/
https://www.ncbi.nlm.nih.gov/pubmed/26327790
http://dx.doi.org/10.1590/1413-78522015230101023
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author Silva, Bruno Liberato de Souza
Kimura, Luiz Koiti
Crepaldi, Bruno Eiras
Mattar, Rames
Cho, Álvaro Baik
Oviedo, Rubén Montiel
author_facet Silva, Bruno Liberato de Souza
Kimura, Luiz Koiti
Crepaldi, Bruno Eiras
Mattar, Rames
Cho, Álvaro Baik
Oviedo, Rubén Montiel
author_sort Silva, Bruno Liberato de Souza
collection PubMed
description OBJECTIVE: To demonstrate the importance of performing early shoulder tomography in patients with obstetric brachial plexus palsy (OBPP). METHODS: This series of cases retrospective study with level evidence IV was conducted by consulting 76 patient's medical records with OBPP divided into three age groups: ≤12 months, 13 to 24 months and ≥ 25 months. The patients were classified according to gender, affected side, type of paralysis according to Narakas classification, and by computed tomography, according to the Waters scale. RESULTS: The association between the age groups with Waters classification was statistically significant (p=0,006), showing that patients in the group aged less than 12 months and in the group aged between 12 and 24 months had a relevant correlation between the physical examination and Waters > III when compared to patients from groups aged 25 months or older. CONCLUSION: This study shows a correlation between the findings in the physical examination and severe dysplasia on the shoulder of children under 24 months of age, justifying the early tomographic shoulder exam in order to achieve a better follow-up and a consider a more aggressive approach in the treatment of OBPP affected children. Level of Evidence IV, Case Series.
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spelling pubmed-45445152015-08-31 Role of early shoulder tomography on the obstetric brachial plexus palsy Silva, Bruno Liberato de Souza Kimura, Luiz Koiti Crepaldi, Bruno Eiras Mattar, Rames Cho, Álvaro Baik Oviedo, Rubén Montiel Acta Ortop Bras Original Article OBJECTIVE: To demonstrate the importance of performing early shoulder tomography in patients with obstetric brachial plexus palsy (OBPP). METHODS: This series of cases retrospective study with level evidence IV was conducted by consulting 76 patient's medical records with OBPP divided into three age groups: ≤12 months, 13 to 24 months and ≥ 25 months. The patients were classified according to gender, affected side, type of paralysis according to Narakas classification, and by computed tomography, according to the Waters scale. RESULTS: The association between the age groups with Waters classification was statistically significant (p=0,006), showing that patients in the group aged less than 12 months and in the group aged between 12 and 24 months had a relevant correlation between the physical examination and Waters > III when compared to patients from groups aged 25 months or older. CONCLUSION: This study shows a correlation between the findings in the physical examination and severe dysplasia on the shoulder of children under 24 months of age, justifying the early tomographic shoulder exam in order to achieve a better follow-up and a consider a more aggressive approach in the treatment of OBPP affected children. Level of Evidence IV, Case Series. Sociedade Brasileira de Ortopedia e Traumatologia 2015 /pmc/articles/PMC4544515/ /pubmed/26327790 http://dx.doi.org/10.1590/1413-78522015230101023 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Silva, Bruno Liberato de Souza
Kimura, Luiz Koiti
Crepaldi, Bruno Eiras
Mattar, Rames
Cho, Álvaro Baik
Oviedo, Rubén Montiel
Role of early shoulder tomography on the obstetric brachial plexus palsy
title Role of early shoulder tomography on the obstetric brachial plexus palsy
title_full Role of early shoulder tomography on the obstetric brachial plexus palsy
title_fullStr Role of early shoulder tomography on the obstetric brachial plexus palsy
title_full_unstemmed Role of early shoulder tomography on the obstetric brachial plexus palsy
title_short Role of early shoulder tomography on the obstetric brachial plexus palsy
title_sort role of early shoulder tomography on the obstetric brachial plexus palsy
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4544515/
https://www.ncbi.nlm.nih.gov/pubmed/26327790
http://dx.doi.org/10.1590/1413-78522015230101023
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