Tendon transfer around shoulder and rehabilitation in obstetric brachial plexus paralysis : clinical and computed tomographic study
Other Title(s)
نقل أوتار العضلات حول مفصل الكتف و استخدام برنامج تأهيلي في علاج شلل الضفيرة العصبية الولادي : دراسة إكلينيكية و باستخدام الأشعة المقطعية
Joint Authors
al-Jamal, Tariq Abd Allah
Sad, Sahar Ahmad
Mustafa, Maged M.
Ahmad, Karam Allah R.
Source
Issue
Vol. 30, Issue 1 (31 Jan. 2006), pp.155-168, 14 p.
Publisher
Assiut University Faculty of Medicine
Publication Date
2006-01-31
Country of Publication
Egypt
No. of Pages
14
Main Subjects
Topics
Abstract EN
109 obstetrical palsy patients with defective shoulder abduction and external rotation had subscapularis release and transfer of teres major to infraspinatus with or without pedicle transfer of the clavicular head of pectoralis major to deltoid.
The age at surgery averaged 67 (11-192) months and Follow-up averaged 36 (12-80) months.
39 cases had follow-up CT scan of both shoulders.
Improvement of abduction averaged 64° and that of external rotation 5(f, 100% and 290% gain, respectively.
Both negatively correlated with the age at surgery (p<0.001), and were significantly higher in patients operated < 4 years old.
On CT scans, the degree of glenoid retroversion positively correlated (p<0.001) with the age at surgery, and was significantly higher in patients operated >4 years old.
The degree of posterior subluxation showed no significant difference between different ages.
There was no significant difference between the operated and normal sides in patients operated < 4years old as regards glenoid retroversion and in those operated <2 years old as regards posterior subluxation.
The operation is useful for correction of defective shoulder abduction and external rotation in obstetric palsy.
It is best performed before the age of two to get maximal improvement in motion and prevent secondary bone changes.
Between the ages of 2-4, it also resulted in significant improvement in motion and prevented glenoid retroversion, but not posterior subluxation.
After the age of 4, the improvement in motion was not significant and secondary bone changes were not prevented.
American Psychological Association (APA)
al-Jamal, Tariq Abd Allah& Sad, Sahar Ahmad& Mustafa, Maged M.& Ahmad, Karam Allah R.. 2006. Tendon transfer around shoulder and rehabilitation in obstetric brachial plexus paralysis : clinical and computed tomographic study. Assiut Medical Journal،Vol. 30, no. 1, pp.155-168.
https://search.emarefa.net/detail/BIM-49580
Modern Language Association (MLA)
al-Jamal, Tariq Abd Allah…[et al.]. Tendon transfer around shoulder and rehabilitation in obstetric brachial plexus paralysis : clinical and computed tomographic study. Assiut Medical Journal Vol. 30, no. 1(January 2006), pp.155-168.
https://search.emarefa.net/detail/BIM-49580
American Medical Association (AMA)
al-Jamal, Tariq Abd Allah& Sad, Sahar Ahmad& Mustafa, Maged M.& Ahmad, Karam Allah R.. Tendon transfer around shoulder and rehabilitation in obstetric brachial plexus paralysis : clinical and computed tomographic study. Assiut Medical Journal. 2006. Vol. 30, no. 1, pp.155-168.
https://search.emarefa.net/detail/BIM-49580
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 166-167
Record ID
BIM-49580