Irish Child Health Database - Peer Reviewed Papers
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Outcome of subscapularis muscle release for shoulder contracture secondary to brachial plexus palsy at birth
Published in:
J Pediatr Orthop, Vol: 26, Page: 647-51
Publication Date:
2006 Sep-Oct
Aims & Objectives:
This study described the effect of subscapularis muscle release performed in isolation
Abstract:
Children with unresolved brachial plexus palsy frequently develop a disabling internal rotation contracture of the shoulder. Several surgical options, including soft tissue procedures such as muscle releases and/or transfers, and bone operations such as humeral osteotomy are available to correct this deformity. This study describes the effect of subscapularis muscle release performed in isolation. Thirteen patients (5 boys, 8 girls) were reviewed at an average of 3.5 years after their surgery (range, 2-7 years). Their mean age at operation was 4.7 years (range, 1-8 years). Three children had C5-C6 palsies, 8 had C5-C7 palsies, and 2 had C5-C8 palsies. Postoperatively, patients presented significant gains in shoulder active lateral rotation (+49 degrees, from 5 to 54 degrees), active abduction (+30 degrees, from 63 to 93 degrees), active flexion (+46 degrees, from 98 to 144 degrees), and active extension (+23 degrees, from 7 to 30 degrees). Gains were also observed in passive range of motion, but of a lesser degree. Subscapularis muscle release is a procedure we found to have few significant complications and was highly effective in increasing active range of motion and restoring shoulder function.
Authors:
Study Type:
Study Papers » Case Series Study » Descriptive Studies - Without a comparision
Categories:
subscapularis muscle release
International Classification:
Procedure - subscapularis muscle release
Keywords:
- Brachial Plexus Neuropathies/physiopathology/ surgery
- Brachial Plexus/ injuries
- Child
- Child, Preschool
- Contracture/ surgery
- Female
- Humans
- Infant
- Male
- Muscle, Skeletal/ surgery
- Paralysis, Obstetric/physiopathology/ surgery
- Range of Motion, Articular
- Retrospective Studies
- Shoulder Joint/physiopathology
- Treatment Outcome
Geography:
Republic of Ireland (Dublin)