Arthroscopically Assisted Sever-L'Episcopo Procedure Improves Clinical and Radiographic Outcomes in Neonatal Brachial Plexus Palsy Patients

Mehlman, Charles T.; DeVoe, William B.; Lippert, William C.; Michaud, Linda J.; Allgier, Allison; Foad, Susan L.

doi:10.1097/bpo.0b013e31820cada8

Cited by 24 publications

(24 citation statements)

References 30 publications

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“…These results are confirmed by the recent publication of Mehlman et al [32]. This procedure can be repeated for revision without much difficulty or scar tissue unlike open techniques.…”

Section: Discussionsupporting

confidence: 76%

A subscapularis-preserving arthroscopic release of capsule in the treatment of internal rotation contracture of shoulder in Erb’s palsy (SPARC procedure)

Kany

Kumar²,

Amaravathi

et al. 2012

Journal of Pediatric Orthopaedics B

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The purpose of this study was to evaluate a minimally invasive subscapularis-preserving arthroscopic release of capsule in the treatment of internal rotation contracture of the shoulder due to Erb's palsy. We performed our procedure (subscapularis-preserving arthroscopic release of capsule) in 10 paediatric shoulders with an average age of 20.2 months and followed them for an average period of 41.5 months. All the patients were assessed clinically and radiologically preoperatively and postoperatively at regular intervals. The Mallet scoring system was used for analysing the results. The average gain in passive external rotation was 50°. The active internal rotation was preserved in all the cases. With the mid-term follow-up, there was no loss of the gained external rotation or the recurrence of internal rotation contracture of the shoulder. Our hypothesis has achieved its goal in preserving subscapularis, active internal rotation and treatment of internal rotation contracture of the shoulder. The success of this procedure lies in the early identification of starting of internal rotation contracture and early surgical intervention to prevent progressive permanent glenohumeral osseocartilaginous deformity.

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“…These results are confirmed by the recent publication of Mehlman et al [32]. This procedure can be repeated for revision without much difficulty or scar tissue unlike open techniques.…”

Section: Discussionsupporting

confidence: 76%

A subscapularis-preserving arthroscopic release of capsule in the treatment of internal rotation contracture of shoulder in Erb’s palsy (SPARC procedure)

Kany

Kumar²,

Amaravathi

et al. 2012

Journal of Pediatric Orthopaedics B

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“…Since Pearl et al [8] described the arthroscopic technique for the treatment of internal rotation contracture in BPBP, various authors have reported their experiences with this technique, and some 200 cases have been described [17][18][19][20][21][22][23][24] (Table 3).…”

Section: Discussionmentioning

confidence: 99%

Arthroscopic treatment for internal contracture of the shoulder secondary to brachial plexus birth palsy: report of a case series and review of the literature

Cano

Toledo

Farrington

et al. 2015

Eur J Orthop Surg Traumatol

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“…Pearl et al [22] concluded that, in children up to 3 years of age, arthroscopic release alone effectively restores near-normal passive external rotation and a centered glenohumeral joint at the time of surgery. The authors reported rapid remodeling of the glenoid after the arthroscopic shoulder joint reduction [20, 21, 24]. Kozin et al [19] studied 44 children with Erb’s palsy and reported significant improvement in both clinical and radiologic outcomes of shoulder joint function after arthroscopic release with or without tendon transfer to restore glenohumeral joint alignment.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of functional outcomes and preliminary results in a case series of 15 children treated with arthroscopic release for internal rotation contracture of the shoulder joint after Erb's palsy

Elzohairy

Salama

2016

Journal of Children's Orthopaedics

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IntroductionThe purpose of this study was to evaluate shoulder function following minimally invasive subtotal subscapularis muscle and periarticular capsuloligamentous arthroscopic release in children with Erb’s palsy.MethodsA prospective study was conducted on 15 consecutive children who underwent subtotal subscapularis muscle and periarticular capsuloligamentous arthroscopic release to treat internal rotation contracture of the shoulder joint after Erb’s palsy. Age at surgery ranged from 24 to 38 months (average 28.3) (2.4 years). All of the patients were assessed clinically and radiologically preoperatively and postoperatively at regular intervals. The Mallet scoring system was used to analyze the results.ResultsThe mean external rotation improved from −24° to +46° (p = 0.001) at the last follow-up. Active internal rotation was preserved in all cases. At the final follow-up, there had been no loss of the external rotation gained and no recurrence of internal rotation contracture of the shoulder, and the mean Mallet score (total) had improved from 11 to 17 points (p = 0.001).ConclusionsIn children aged from 1 to 3 years, an arthroscopic release procedure alone may successfully restore function and yield a centered glenohumeral joint, which has a beneficial effect on glenoid remodeling.Level of evidenceLevel IV.Electronic supplementary materialThe online version of this article (doi:10.1007/s11832-016-0773-1) contains supplementary material, which is available to authorized users.

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Arthroscopically Assisted Sever-L'Episcopo Procedure Improves Clinical and Radiographic Outcomes in Neonatal Brachial Plexus Palsy Patients

Abstract: Therapeutic Level IV.

Cited by 24 publications

References 30 publications

A subscapularis-preserving arthroscopic release of capsule in the treatment of internal rotation contracture of shoulder in Erb’s palsy (SPARC procedure)

A subscapularis-preserving arthroscopic release of capsule in the treatment of internal rotation contracture of shoulder in Erb’s palsy (SPARC procedure)

Arthroscopic treatment for internal contracture of the shoulder secondary to brachial plexus birth palsy: report of a case series and review of the literature

Evaluation of functional outcomes and preliminary results in a case series of 15 children treated with arthroscopic release for internal rotation contracture of the shoulder joint after Erb's palsy

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