External rotation osteostomy of the proximal humerus for the management of residual braehial plexus birth injury (erb's type)‎ : Improvement of the Shape Improves the Funetion

Other Title(s)

القطع العظمي في الجزء العلوي لعظمة العضد مع الدوران للخارج لعلاج آثار إصابتة الضفيرة العصبية العنيفة أثناء الولادة : تحسن الشكل يحسن الوظيفة

Source

Suez Canal University Medical Journal

Publisher

Suez Canal University Faculty of Medicine

Publication Date

2001-10-31

Country of Publication

Egypt

No. of Pages

8

Main Subjects

Medicine

English Abstract

Aim of the work: in this work we performed a total of eleven proximal humeral osteotomy in eleven patients with residual obstetric paralysis "Erb’s type".

We aimed at correction of their internal rotation deformity and restoration of some degree of lateral rotation, with improving of both the limb function and cosmosis.

Patients and method: The age of our patients ranged between 6 and 14 years, as we did not do the correction in any patient below the school age.

The right side was involved ١١؛ eight patients.

Nine patients did have physiotherapy either early after birth -for at least one year- or at a later stage, but intermittently.

Four patients had previous surgery in the form of tendons release and transl'er.

Every patient should have been able to abduct his shoulder near to the 45 degrees, and able to use his hand reasonably well.

Yet, there were some sort of disability, such as difficulties in feeding, washing due to fixed internal rotation deformity, and limited abduction of the shoulder.

Also there should be no radiological signs of severe bony deformities, either in the glenoid or the humerus, but we accepted some posterior subluxation in gleno-humeral joint.

The amount of correction needed was determined before surgery on clinical examination in comparison to the other limb.

We did our osteotomy distal to the surgical neck of' the: humerus, and we used plate and screws to fiold the osteotomy sites.

Results: We reportedTull correction of the deformities we aimed at with excellent cosmetic results, which satisfied every patients.

The functional ability did improve a great (leal in all of them as well, with an increase in the arc of rotation by an average of 26.9 degrees (rangeio to 66 degrees) and, with improved active abduction by an average of 20 degrees (range 8 to 48 degrees).

Data Type

Conference Papers

Record ID

BIM-393058

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