Arthroscopic Treatment of Shoulder Internal Rotation Contracture In Children Secondary To Obstetric Brachial Plexus Birth Palsy | ||||
| Zagazig University Medical Journal | ||||
| Article 26, Volume 30, Issue 7, October 2024, Page 3453-3461 PDF (958.61 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/zumj.2024.313869.3529 | ||||
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| Authors | ||||
Ahmed Mostafa El-Feky1; Omar Abd-Elwahab Kelany2; Mohammed Mahmoud Mansour2; Amr Shihata El Hady  1
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| 1Orthopedic Departement, Zagazig University, Egypt | ||||
| 2Orthopedic Surgery Department, Faculty of Medicine, Zagazig University, Egypt | ||||
| Abstract | ||||
| Background: Children who had been delivered with brachial plexus injury often presented with debilitating condition when their shoulder becomes stuck in an inwardly rotated position. Instances of inadequate recuperation following physiotherapy necessitate several surgical alternatives, such as soft tissue interventions like muscle releases and/or transfers, which can rectify this deformity. The current study aimed to present the clinical and radiological outcome after arthroscopic release of shoulder internal rotation contracture in cases of brachial plexus injury during birth. Methods: The current study was done in Zagazig University hospitals and had been included thirty-five participants presented by brachial plexus injury since delivery associated with shoulder internal rotation contracture with subluxation of the humeral head. Results: Mallet score; improved as the median of pre-operative Mallet score was 11 (2) and significantly increased to 16 (3) at the post-operative follow up, external rotation; improved as the median of pre-operative external rotation was 2 (1) and increased to 4 (1) post-operatively (P<0.001). Increase in elevation; as median of pre-operative elevation was 3 (1) and increased to 4 (1) post-operatively (P=0.003). Conclusion: The optimal time to do the arthroscopic release is before the child reaches two years old in order to achieve the greatest range of motion improvement of shoulder and to prevent additional bone alterations such as glenoid retroversion or displacement of the humeral head posteriorly, according to our perspective. | ||||
| Keywords | ||||
| Children; Arthroscopic repair; glenohumeral; brachial plexus; contracture | ||||
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