Arthroscopic treatment for internal contracture of the shoulder secondary to brachial plexus birth palsy: report of a case series and review of the literature
Abstract:Arthroscopic arthrolysis of the shoulder in children with BPBP sequelae (internal rotation contractures) is a safe and effective procedure that produces clinical improvement in function and mobility.
“…Sometimes clavicle osteotomy has been demonstrated to not work effectively because this procedure does not address the bone deformities at the root of the progressive posterior dislocation [ 12 ]. As few number of children with Erb's palsy who underwent clavicle osteotomy experienced nonunion and complained of shoulder deformity and pain, a new surgical method for correcting clavicle nonunion other than repeated clavicle osteotomy is needed [ 13 ]. In the present case report, middle third fibula auto grafting and fixing it to the cite of clavicle nonunion by pins was applied and demonstrated remarkable improvement.…”
“…Sometimes clavicle osteotomy has been demonstrated to not work effectively because this procedure does not address the bone deformities at the root of the progressive posterior dislocation [ 12 ]. As few number of children with Erb's palsy who underwent clavicle osteotomy experienced nonunion and complained of shoulder deformity and pain, a new surgical method for correcting clavicle nonunion other than repeated clavicle osteotomy is needed [ 13 ]. In the present case report, middle third fibula auto grafting and fixing it to the cite of clavicle nonunion by pins was applied and demonstrated remarkable improvement.…”
“…Arthroscopic and open methods address passive ER limitations and ensure joint reduction with direct visualization. 18,19 Arthroscopic release and reduction is performed most often. Passive external rotation >60 degrees and a reduced, stable glenohumeral joint is the goal.…”
Section: Arthroscopic Release and Joint Reductionmentioning
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