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Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer

Evaluate the results of a series of 28 cases of high obstetric paralysis treated with the Sever-L'Episcopo technique modified by Hoffer, between 2003 and 2016. Children (mean age, four years and seven months) with adduction contracture and internal rotation of the shoulder without secondary bon...

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Autores principales: Severo, Antonio L., Carvalho, Pedro G. L., Lemos, Marcelo B., Nunes, Marcos C., Scaranto, Marjurie, Barros, Fernando K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Revinter Publicações Ltda. 2020
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7748939/
https://www.ncbi.nlm.nih.gov/pubmed/33364661
http://dx.doi.org/10.1055/s-0040-1712990
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author Severo, Antonio L.
Carvalho, Pedro G. L.
Lemos, Marcelo B.
Nunes, Marcos C.
Scaranto, Marjurie
Barros, Fernando K.
author_facet Severo, Antonio L.
Carvalho, Pedro G. L.
Lemos, Marcelo B.
Nunes, Marcos C.
Scaranto, Marjurie
Barros, Fernando K.
author_sort Severo, Antonio L.
collection PubMed
description Evaluate the results of a series of 28 cases of high obstetric paralysis treated with the Sever-L'Episcopo technique modified by Hoffer, between 2003 and 2016. Children (mean age, four years and seven months) with adduction contracture and internal rotation of the shoulder without secondary bone deformities (Mallet class II) underwent lengthening of the pectoralis major muscle and tenotomy of the subscapularis muscle associated with transfer of the latissimus dorsi and teres major muscle to the infraspinatus muscle, moving to the function of external rotators and elevators. The mean follow-up was three years and 10 months. At the end of the study, 24 patients achieved excellent functional assessment scores, mainly of the abduction and external rotation, passing from Mallet class II to class IV. Four patients still demonstrated some degree of global movement limitation, passing from class II to class III. Regardless of the final functional gain, all patients were able to perform tasks that were previously difficult. The data from this study suggest that Hoffer's surgery is an effective method in the treatment of the sequelae of high obstetric paralysis without secondary bone deformities.
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spelling pubmed-77489392020-12-22 Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer Severo, Antonio L. Carvalho, Pedro G. L. Lemos, Marcelo B. Nunes, Marcos C. Scaranto, Marjurie Barros, Fernando K. Rev Bras Ortop (Sao Paulo) Evaluate the results of a series of 28 cases of high obstetric paralysis treated with the Sever-L'Episcopo technique modified by Hoffer, between 2003 and 2016. Children (mean age, four years and seven months) with adduction contracture and internal rotation of the shoulder without secondary bone deformities (Mallet class II) underwent lengthening of the pectoralis major muscle and tenotomy of the subscapularis muscle associated with transfer of the latissimus dorsi and teres major muscle to the infraspinatus muscle, moving to the function of external rotators and elevators. The mean follow-up was three years and 10 months. At the end of the study, 24 patients achieved excellent functional assessment scores, mainly of the abduction and external rotation, passing from Mallet class II to class IV. Four patients still demonstrated some degree of global movement limitation, passing from class II to class III. Regardless of the final functional gain, all patients were able to perform tasks that were previously difficult. The data from this study suggest that Hoffer's surgery is an effective method in the treatment of the sequelae of high obstetric paralysis without secondary bone deformities. Thieme Revinter Publicações Ltda. 2020-12 2020-09-22 /pmc/articles/PMC7748939/ /pubmed/33364661 http://dx.doi.org/10.1055/s-0040-1712990 Text en Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Severo, Antonio L.
Carvalho, Pedro G. L.
Lemos, Marcelo B.
Nunes, Marcos C.
Scaranto, Marjurie
Barros, Fernando K.
Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer
title Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer
title_full Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer
title_fullStr Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer
title_full_unstemmed Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer
title_short Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer
title_sort obstetric paralysis: evaluation of the sever-l'episcopo technique modified by hoffer
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7748939/
https://www.ncbi.nlm.nih.gov/pubmed/33364661
http://dx.doi.org/10.1055/s-0040-1712990
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