Corrective Osteotomies of the Radius and Ulna for Supination Contracture of the Pediatric and Adolescent Forearm Secondary to Neurologic Injury

Hankins, Stephen M.; Bezwada, Hari P.; Kozin, Scott H.

doi:10.1016/j.jhsa.2005.08.011

Cited by 32 publications

(10 citation statements)

References 9 publications

(14 reference statements)

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“…6,[27][28][29][30][31] Also, less severe anatomical deformity at the time of secondary surgery would probably result in an improved outcome and appear at least to require fewer operations for each patient. The benefits of nerve grafting/transfer in patients with C5-6 injuries are unclear, especially when the severity of ensuing shoulder dysplasia is considered.…”

Section: Discussionmentioning

confidence: 99%

Nerve reconstruction in patients with obstetric brachial plexus injury results in worsening of glenohumeral deformity

Nath

Liu

2009

The Journal of Bone and Joint Surgery. British volume

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Whereas a general trend in the management of obstetric brachial plexus injuries has been nerve reconstruction in patients without spontaneous recovery of biceps function by three to six months of age, many recent studies suggest this may be unnecessary. In this study, the severity of glenohumeral dysplasia and shoulder function and strength in two groups of matched patients with a C5-6 lesion at a mean age of seven years (2.7 to 13.3) were investigated. One group (23 patients) underwent nerve reconstruction and secondary operations, and the other (52 patients) underwent only secondary operations for similar initial clinical presentations. In the patients with nerve reconstruction shoulder function did not improve and they developed more severe shoulder deformities (posterior subluxation, glenoid version and scapular elevation) and required a mean of 2.4 times as many operations as patients without nerve reconstruction. This study suggests that less invasive management, addressing the muscle and bone complications, is a more effective approach. Nerve reconstruction should be reserved for those less common cases where the C5 and C6 nerve roots will not recover.

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Section: Discussionmentioning

confidence: 99%

Nerve reconstruction in patients with obstetric brachial plexus injury results in worsening of glenohumeral deformity

Nath

Liu

2009

The Journal of Bone and Joint Surgery. British volume

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“…Twelve patients (13 limbs) were included in the published series. 15 Average age of the patients at the time of surgery was 11 years. Average preoperative supination deformity (either fixed or measured at mid-arc) was 76°.…”

Section: Alternative Treatment Methodsmentioning

confidence: 99%

The Evaluation and Treatment of Children With Brachial Plexus Birth Palsy

Kozin

2011

The Journal of Hand Surgery

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“…Lähmungsbedingte Supinationskontrakturen sind meist die Folge geburtstraumatischer (unterer) Armplexusschäden, können aber auch bei traumatischen Plexuslä-sionen im Erwachsenenalter, Poliomyelitis, Tetraplegie und anderen peripheren Nervenverletzungen auftreten [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17].…”

Section: Vorbemerkungenunclassified

“…Klinisch kann das Ausmaß der Supinationsfehlhaltung/-kontraktur nach Zancolli et al [18] Für die Therapie der Supinationsfehlhaltung/-kon traktur stehen neben dem Release der Membrana inter ossea [12] Sehnenverlagerungen [5,10,13,14,17], Osteoklasien [2] und Osteotomien [6,7,20] In Gruppe I erfolgt eine Umleitung der Bizepssehne (bei guter Trizepsfunktion) oder ein Transfer der Sehne des Musculus flexor carpi ulnaris auf den Ansatz der Sehne des Musculus brachioradialis (bei schlechter Trizepsfunktion).…”

Section: Introductionunclassified

Z-Plastik und Umleitung der Bizepssehne mit Release der Membrana interossea zur Wiederherstellung der Pronation bei lähmungsbedingten Supinationsfehlhaltungen und -kontrakturen

Rühmann

Hierner

2009

Orthop Traumatol

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Eleven children with obstetric brachial plexus palsy and an average age of 6 years (4-12 years) were operated. In eight cases, besides rerouting of the biceps tendon, a release of the interosseous membrane was performed. Average follow-up time is 36 months (10-55 months). In all patients, an improved and more normal spontaneous posture of the paralyzed forearm resulted: difference of forearm position/increase of pronation 87 degrees (70-100 degrees). 91% of the patients reached an active pronation at least to neutral rotation, 46% were able to pronate up to 30 degrees and more.

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Corrective Osteotomies of the Radius and Ulna for Supination Contracture of the Pediatric and Adolescent Forearm Secondary to Neurologic Injury

Cited by 32 publications

References 9 publications

Nerve reconstruction in patients with obstetric brachial plexus injury results in worsening of glenohumeral deformity

Nerve reconstruction in patients with obstetric brachial plexus injury results in worsening of glenohumeral deformity

The Evaluation and Treatment of Children With Brachial Plexus Birth Palsy

Z-Plastik und Umleitung der Bizepssehne mit Release der Membrana interossea zur Wiederherstellung der Pronation bei lähmungsbedingten Supinationsfehlhaltungen und -kontrakturen

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