Loading…
Muscle transfers in children and adults improve external rotation in cases of obstetrical brachial plexus paralysis: a comparative study
Purpose Latissimus dorsi and teres major transfers to the lateral side of the humerus with lengthening of the pectoralis major and subscapularis muscles for residual shoulder deformity were compared in children and skeletally mature patients. Methods Fifteen patients (nine children, six skeletally m...
Saved in:
| Published in: | International orthopaedics 2014-04, Vol.38 (4), p.803-810 |
|---|---|
| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c442t-1b81b304070fd401a42170e345c10d8f8968c0202c8e52ac83a8bc822130290b3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c442t-1b81b304070fd401a42170e345c10d8f8968c0202c8e52ac83a8bc822130290b3 |
| container_end_page | 810 |
| container_issue | 4 |
| container_start_page | 803 |
| container_title | International orthopaedics |
| container_volume | 38 |
| creator | Chomiak, Jiří Dungl, Pavel Ošťádal, Martin Frydrychová, Monika Burian, Michal |
| description | Purpose
Latissimus dorsi and teres major transfers to the lateral side of the humerus with lengthening of the pectoralis major and subscapularis muscles for residual shoulder deformity were compared in children and skeletally mature patients.
Methods
Fifteen patients (nine children, six skeletally mature patients aged three to 30 years, follow-up one to 22 years) were treated for internal shoulder contracture after birth plexus lesions: C5–C6 (seven patients); C5–7 (five patients); C5-C8-T1 (three patients, respectively). Range of movement, Mallet shoulder function score and radiographs were assessed.
Results
Pre-operatively, shoulder function restrictions were comparable in all patients. Postoperatively, external rotation, abduction and Mallet function score improved significantly (
p <
0.05) in all patients except one. There were no differences in improvement between children and skeletally mature patients (
p =
0.24–1.0).
Conclusions
This technique improves external rotation and abduction of the shoulder for daily living activities in children and young, skeletally mature, patients. |
| doi_str_mv | 10.1007/s00264-013-2202-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3971286</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1512223830</sourcerecordid><originalsourceid>FETCH-LOGICAL-c442t-1b81b304070fd401a42170e345c10d8f8968c0202c8e52ac83a8bc822130290b3</originalsourceid><addsrcrecordid>eNp9kctu1TAQhi0EoqeFB2CDvGSTMr4kcVggoYqbVMQG1pbjOK0rxz54nKrnDXhsHE6pYMPKl_nn8-Uj5AWDcwbQv0YA3skGmGg4B97AI7JjUvCmZUP7mOxASNbwbmhPyCniDQDrO8WekhMuBYMWuh35-WVFGxwt2UScXUbqI7XXPkzZRWriRM20hlK3l31Ot466u-JyNIHmVEzxKf5uMOiQppmmEYsr2dsaGLOpoDrZB3e3It2bbMIBPb6hhtq0bOviKxLLOh2ekSezCeie349n5PuH998uPjWXXz9-vnh32VgpeWnYqNgoQEIP8ySBGclZD07I1jKY1KyGTlmon2GVa7mxShg1WsU5E8AHGMUZeXvk7tdxcZN1sT496H32i8kHnYzX_1aiv9ZX6VaLoWdcdRXw6h6Q04_VYdGLR-tCMNGlFTVrGedcKAE1yo5RmxNidvPDMQz0ZlAfDepqUG8G9dbz8u_7PXT8UVYD_BjAWopXLuubtG5G8D_UX669qWc</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1512223830</pqid></control><display><type>article</type><title>Muscle transfers in children and adults improve external rotation in cases of obstetrical brachial plexus paralysis: a comparative study</title><source>Springer Nature</source><source>PubMed Central</source><creator>Chomiak, Jiří ; Dungl, Pavel ; Ošťádal, Martin ; Frydrychová, Monika ; Burian, Michal</creator><creatorcontrib>Chomiak, Jiří ; Dungl, Pavel ; Ošťádal, Martin ; Frydrychová, Monika ; Burian, Michal</creatorcontrib><description>Purpose
Latissimus dorsi and teres major transfers to the lateral side of the humerus with lengthening of the pectoralis major and subscapularis muscles for residual shoulder deformity were compared in children and skeletally mature patients.
Methods
Fifteen patients (nine children, six skeletally mature patients aged three to 30 years, follow-up one to 22 years) were treated for internal shoulder contracture after birth plexus lesions: C5–C6 (seven patients); C5–7 (five patients); C5-C8-T1 (three patients, respectively). Range of movement, Mallet shoulder function score and radiographs were assessed.
Results
Pre-operatively, shoulder function restrictions were comparable in all patients. Postoperatively, external rotation, abduction and Mallet function score improved significantly (
p <
0.05) in all patients except one. There were no differences in improvement between children and skeletally mature patients (
p =
0.24–1.0).
Conclusions
This technique improves external rotation and abduction of the shoulder for daily living activities in children and young, skeletally mature, patients.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-013-2202-0</identifier><identifier>PMID: 24310506</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Brachial Plexus Neuropathies - physiopathology ; Brachial Plexus Neuropathies - surgery ; Child ; Child, Preschool ; Humans ; Medicine ; Medicine & Public Health ; Muscle, Skeletal - transplantation ; Original Paper ; Orthopedics ; Range of Motion, Articular ; Rotation ; Treatment Outcome ; Young Adult</subject><ispartof>International orthopaedics, 2014-04, Vol.38 (4), p.803-810</ispartof><rights>Springer-Verlag Berlin Heidelberg 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-1b81b304070fd401a42170e345c10d8f8968c0202c8e52ac83a8bc822130290b3</citedby><cites>FETCH-LOGICAL-c442t-1b81b304070fd401a42170e345c10d8f8968c0202c8e52ac83a8bc822130290b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3971286/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3971286/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24310506$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chomiak, Jiří</creatorcontrib><creatorcontrib>Dungl, Pavel</creatorcontrib><creatorcontrib>Ošťádal, Martin</creatorcontrib><creatorcontrib>Frydrychová, Monika</creatorcontrib><creatorcontrib>Burian, Michal</creatorcontrib><title>Muscle transfers in children and adults improve external rotation in cases of obstetrical brachial plexus paralysis: a comparative study</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Purpose
Latissimus dorsi and teres major transfers to the lateral side of the humerus with lengthening of the pectoralis major and subscapularis muscles for residual shoulder deformity were compared in children and skeletally mature patients.
Methods
Fifteen patients (nine children, six skeletally mature patients aged three to 30 years, follow-up one to 22 years) were treated for internal shoulder contracture after birth plexus lesions: C5–C6 (seven patients); C5–7 (five patients); C5-C8-T1 (three patients, respectively). Range of movement, Mallet shoulder function score and radiographs were assessed.
Results
Pre-operatively, shoulder function restrictions were comparable in all patients. Postoperatively, external rotation, abduction and Mallet function score improved significantly (
p <
0.05) in all patients except one. There were no differences in improvement between children and skeletally mature patients (
p =
0.24–1.0).
Conclusions
This technique improves external rotation and abduction of the shoulder for daily living activities in children and young, skeletally mature, patients.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Brachial Plexus Neuropathies - physiopathology</subject><subject>Brachial Plexus Neuropathies - surgery</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Muscle, Skeletal - transplantation</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Range of Motion, Articular</subject><subject>Rotation</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp9kctu1TAQhi0EoqeFB2CDvGSTMr4kcVggoYqbVMQG1pbjOK0rxz54nKrnDXhsHE6pYMPKl_nn8-Uj5AWDcwbQv0YA3skGmGg4B97AI7JjUvCmZUP7mOxASNbwbmhPyCniDQDrO8WekhMuBYMWuh35-WVFGxwt2UScXUbqI7XXPkzZRWriRM20hlK3l31Ot466u-JyNIHmVEzxKf5uMOiQppmmEYsr2dsaGLOpoDrZB3e3It2bbMIBPb6hhtq0bOviKxLLOh2ekSezCeie349n5PuH998uPjWXXz9-vnh32VgpeWnYqNgoQEIP8ySBGclZD07I1jKY1KyGTlmon2GVa7mxShg1WsU5E8AHGMUZeXvk7tdxcZN1sT496H32i8kHnYzX_1aiv9ZX6VaLoWdcdRXw6h6Q04_VYdGLR-tCMNGlFTVrGedcKAE1yo5RmxNidvPDMQz0ZlAfDepqUG8G9dbz8u_7PXT8UVYD_BjAWopXLuubtG5G8D_UX669qWc</recordid><startdate>20140401</startdate><enddate>20140401</enddate><creator>Chomiak, Jiří</creator><creator>Dungl, Pavel</creator><creator>Ošťádal, Martin</creator><creator>Frydrychová, Monika</creator><creator>Burian, Michal</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20140401</creationdate><title>Muscle transfers in children and adults improve external rotation in cases of obstetrical brachial plexus paralysis: a comparative study</title><author>Chomiak, Jiří ; Dungl, Pavel ; Ošťádal, Martin ; Frydrychová, Monika ; Burian, Michal</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c442t-1b81b304070fd401a42170e345c10d8f8968c0202c8e52ac83a8bc822130290b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Brachial Plexus Neuropathies - physiopathology</topic><topic>Brachial Plexus Neuropathies - surgery</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Muscle, Skeletal - transplantation</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Range of Motion, Articular</topic><topic>Rotation</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chomiak, Jiří</creatorcontrib><creatorcontrib>Dungl, Pavel</creatorcontrib><creatorcontrib>Ošťádal, Martin</creatorcontrib><creatorcontrib>Frydrychová, Monika</creatorcontrib><creatorcontrib>Burian, Michal</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chomiak, Jiří</au><au>Dungl, Pavel</au><au>Ošťádal, Martin</au><au>Frydrychová, Monika</au><au>Burian, Michal</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Muscle transfers in children and adults improve external rotation in cases of obstetrical brachial plexus paralysis: a comparative study</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2014-04-01</date><risdate>2014</risdate><volume>38</volume><issue>4</issue><spage>803</spage><epage>810</epage><pages>803-810</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Purpose
Latissimus dorsi and teres major transfers to the lateral side of the humerus with lengthening of the pectoralis major and subscapularis muscles for residual shoulder deformity were compared in children and skeletally mature patients.
Methods
Fifteen patients (nine children, six skeletally mature patients aged three to 30 years, follow-up one to 22 years) were treated for internal shoulder contracture after birth plexus lesions: C5–C6 (seven patients); C5–7 (five patients); C5-C8-T1 (three patients, respectively). Range of movement, Mallet shoulder function score and radiographs were assessed.
Results
Pre-operatively, shoulder function restrictions were comparable in all patients. Postoperatively, external rotation, abduction and Mallet function score improved significantly (
p <
0.05) in all patients except one. There were no differences in improvement between children and skeletally mature patients (
p =
0.24–1.0).
Conclusions
This technique improves external rotation and abduction of the shoulder for daily living activities in children and young, skeletally mature, patients.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24310506</pmid><doi>10.1007/s00264-013-2202-0</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0341-2695 |
| ispartof | International orthopaedics, 2014-04, Vol.38 (4), p.803-810 |
| issn | 0341-2695 1432-5195 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_3971286 |
| source | Springer Nature; PubMed Central |
| subjects | Adolescent Adult Brachial Plexus Neuropathies - physiopathology Brachial Plexus Neuropathies - surgery Child Child, Preschool Humans Medicine Medicine & Public Health Muscle, Skeletal - transplantation Original Paper Orthopedics Range of Motion, Articular Rotation Treatment Outcome Young Adult |
| title | Muscle transfers in children and adults improve external rotation in cases of obstetrical brachial plexus paralysis: a comparative study |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T23%3A38%3A48IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Muscle%20transfers%20in%20children%20and%20adults%20improve%20external%20rotation%20in%20cases%20of%20obstetrical%20brachial%20plexus%20paralysis:%20a%20comparative%20study&rft.jtitle=International%20orthopaedics&rft.au=Chomiak,%20Ji%C5%99%C3%AD&rft.date=2014-04-01&rft.volume=38&rft.issue=4&rft.spage=803&rft.epage=810&rft.pages=803-810&rft.issn=0341-2695&rft.eissn=1432-5195&rft_id=info:doi/10.1007/s00264-013-2202-0&rft_dat=%3Cproquest_pubme%3E1512223830%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c442t-1b81b304070fd401a42170e345c10d8f8968c0202c8e52ac83a8bc822130290b3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1512223830&rft_id=info:pmid/24310506&rfr_iscdi=true |