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Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports
Untreated adult obstetric brachial plexus injury (OBPI) patients, in general, use compensatory strategies to achieve their lost upper extremity functions; they cause some adverse effects. Our present study is a case series of 3 female adult OBPI patients, aged 46, 23 and 21 years old. They all had a...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
PAGEPress Publications, Pavia, Italy
2019
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6763706/ https://www.ncbi.nlm.nih.gov/pubmed/31579492 http://dx.doi.org/10.4081/cp.2019.1140 |
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author | Nath, Rahul K. Goel, Divya Somasundaram, Chandra |
author_facet | Nath, Rahul K. Goel, Divya Somasundaram, Chandra |
author_sort | Nath, Rahul K. |
collection | PubMed |
description | Untreated adult obstetric brachial plexus injury (OBPI) patients, in general, use compensatory strategies to achieve their lost upper extremity functions; they cause some adverse effects. Our present study is a case series of 3 female adult OBPI patients, aged 46, 23 and 21 years old. They all had a modified Quad surgical procedure. All patients were assessed preoperatively and postoperatively by evaluating video recordings of standardized upper extremity movements using the modified Mallet scale. The average postoperative follow-up was 4.3 months (1 to 9 months). Total Mallet score significantly improved from 15 and 18 to 21 in two patients. Supination angle measured from active movement of these 3 patients improved from 40°, 0° and -60° to 80°, 40° and -40°, respectively. The modified Quad surgical procedure significantly improves active abduction and other shoulder functions not only in young pediatric and adolescent patients, as we have previously reported, but also in adult patients with muscle imbalance secondary to brachial plexus injury sustained at birth. |
format | Online Article Text |
id | pubmed-6763706 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | PAGEPress Publications, Pavia, Italy |
record_format | MEDLINE/PubMed |
spelling | pubmed-67637062019-10-02 Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports Nath, Rahul K. Goel, Divya Somasundaram, Chandra Clin Pract Case Report Untreated adult obstetric brachial plexus injury (OBPI) patients, in general, use compensatory strategies to achieve their lost upper extremity functions; they cause some adverse effects. Our present study is a case series of 3 female adult OBPI patients, aged 46, 23 and 21 years old. They all had a modified Quad surgical procedure. All patients were assessed preoperatively and postoperatively by evaluating video recordings of standardized upper extremity movements using the modified Mallet scale. The average postoperative follow-up was 4.3 months (1 to 9 months). Total Mallet score significantly improved from 15 and 18 to 21 in two patients. Supination angle measured from active movement of these 3 patients improved from 40°, 0° and -60° to 80°, 40° and -40°, respectively. The modified Quad surgical procedure significantly improves active abduction and other shoulder functions not only in young pediatric and adolescent patients, as we have previously reported, but also in adult patients with muscle imbalance secondary to brachial plexus injury sustained at birth. PAGEPress Publications, Pavia, Italy 2019-09-23 /pmc/articles/PMC6763706/ /pubmed/31579492 http://dx.doi.org/10.4081/cp.2019.1140 Text en ©Copyright: the Author(s), 2019 http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Nath, Rahul K. Goel, Divya Somasundaram, Chandra Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
title | Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
title_full | Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
title_fullStr | Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
title_full_unstemmed | Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
title_short | Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
title_sort | clinical and functional outcome of modified quad surgery in adult obstetric brachial plexus injury patients: case reports |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6763706/ https://www.ncbi.nlm.nih.gov/pubmed/31579492 http://dx.doi.org/10.4081/cp.2019.1140 |
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