Arthroscopic arthrodesis of the shoulder in brachial plexus palsy

Indication, Technique and Long-term Results after Shoulder Arthrodesis Performed with Plate Fixation

“…Procedures with arthroscopic support may be less invasive [15,29]. Our direct experience does not allow us to conclude whether the positioning of the screws in the scapula neck would then be equally reliable without increasing the risk of injuring neuromuscular structures in the axilla.…”

“…All 11 patients accepted this invitation. The mean follow-up period (FU) was 8.5 (3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16) years and the mean age was 45 years (31-58), including 8 men and 3 women. The right shoulder was operated on 9 times and the left shoulder twice.…”

“…As experience has shown that it is not practicable to saw the contact areas of the humerus head in the planes of the intended arm position, the preparation is spherical. For this purpose, the cartilage around the humerus head is resected cranially and antero-medially of the glenoid, and the subchondral bone lamella is then cut out [15]. It is helpful to use glenoid and humerus head reamer of various sizes, as in shoulder endoprostheses.…”

Arthroscopic Shoulder Fusion for Obstetric Brachial Plexus Palsy

“…The objectives of shoulder arthrodesis in these cases are to provide a stable, painless shoulder and to allow active elevation and abduction of the shoulder via the scapulothoracic motion. 6 To decrease non-union and soft-tissue problems of shoulder arthrodesis, arthroscopic shoulder fusion was proposed by some authors to reduce the morbidity of open shoulder fusion. However, most of these studies reported arthroscopic shoulder fusion in traumatic BPI with normal shoulder anatomy.…”

“…However, most of these studies reported arthroscopic shoulder fusion in traumatic BPI with normal shoulder anatomy. [6][7][8][9] Arthroscopic arthrodesis of the shoulder in OBPI is not commonly reported. The distorted glenohumeral joint geometry in neglected late presentation cases might be the obstacle for arthroscopic procedure.…”