Reconstruction of Shoulder Abduction and External Rotation in Obstetrical Brachial Plexus Palsy Patients

Measurement of external rotation of the shoulder in patients with obstetric brachial plexus palsy

A discussion is presented concerning scoring while assessing shoulder function. Divergence in observation and in interpretation of what is observed may give rise to serious disagreement about indications for surgery. Agreement regarding starting points of measurement is essential. One must realize that the number of degrees, obtained using a scoring system, may not reflect the real amount of mo...

Cortical dysplasia and obstetrical brachial plexus palsy.

We report 2 patients with obstetrical brachial plexus palsy, ipsilateral leg weakness, and contralateral motor cortical dysplasia. To our knowledge, this is the first description of such an association. In both cases, the diagnosis of obstetrical brachial plexus palsy was established clinically shortly after birth and later confirmed neurophysiologically. Motor cortex dysplasia was diagnosed by...

OBSTETRICAL BRACHIAL PLEXUS PALSY Akademisk avhandling

Shoulder contracture and osseous deformity in obstetrical brachial plexus injuries.

BACKGROUND The purposes of this study were to determine the prevalence of and the association between shoulder contracture and osseous deformity in a cohort of children with an obstetrical brachial plexus injury and to identify the risk factors for these complications. METHODS In a retrospective cohort study, all children with an obstetrical brachial plexus injury who had been born between Ja...

Improvement in abduction of the shoulder after reconstructive soft-tissue procedures in obstetric brachial plexus palsy.

Residual muscle weakness in obstetric brachial plexus palsy results in soft-tissue contractures which limit the functional range of movement and lead to progressive glenoid dysplasia and joint instability. We describe the results of surgical treatment in 98 patients (mean age 2.5 years, 0.5 to 9.0) for the correction of active abduction of the shoulder. The patients underwent transfer of the la...