Arthroscopic versus open release of internal rotation contracture in the obstetrical brachial plexus paralysis (OBPP) sequela.

Pehlivanoglu T., Ersen A., Bayram S., ATALAR A. C., Demirhan M.

Journal of shoulder and elbow surgery, vol.28, no.1, pp.28-35, 2019 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 28 Issue: 1
  • Publication Date: 2019
  • Doi Number: 10.1016/j.jse.2018.06.020
  • Journal Name: Journal of shoulder and elbow surgery
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.28-35
  • Keywords: Obstetrical brachial plexus palsy, arthroscopic SS release, open pectoralis major tendon Z-plasty, latissimus dorsi and pectoralis major tendon transfers, internal rotation contracture, release procedures, Mallet score, SECONDARY SHOULDER RECONSTRUCTION, BIRTH PALSY, SUBSCAPULARIS RELEASE, EXTERNAL ROTATION, LATISSIMUS-DORSI, NATURAL-HISTORY, TERES MAJOR, ABDUCTION, DISLOCATION, MANAGEMENT
  • Istanbul University Affiliated: Yes

Abstract

Background: Latissimus dorsi (LD) and teres major (TM) tendon transfers are effective surgical procedures to improve shoulder abduction and external rotation for children with obstetrical brachial plexus palsy (OBPP). Open pectoralis major (PM) tendon Z-plasty and arthroscopic subscapularis (SS) release are 2 options for the release of internal rotation contractures to enhance muscle transfers. This study compared the functional results of LD and TM tendon transfers with open PM tendon Z-plasty or arthroscopic SS release.