Shoulder linked arthroplasty in patients with obstetric brachial plexus palsy can improve quality of life and function at short-term follow-up

Rudge, Will; Sewell, Mathew D.; Al-Hadithy, Nawfal; Wallace, Charles; Lambert, Simon

doi:10.1016/j.jse.2015.03.006

Cited by 9 publications

(8 citation statements)

References 27 publications

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“…Some of the reported cases depended on the geometry of a constrained linkage mechanism [1], similar to what was described in this report. However, using a mesh suspension was also described [2,3], and using a knitted sheath of polyethylene terephthalate over a custom-made endoprosthesis for upper limb reconstruction following metastatic tumor resection, has been reported as well [4].…”

Section: Discussionsupporting

confidence: 70%

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Linked shoulder replacement: current design problems and a new design proposal

Mohammed

Frostick

2015

Musculoskelet Surg

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Section: Discussionsupporting

confidence: 70%

“…It has been reported in the literature as a surgical treatment option for different indications including the adulthood sequela of obstetric brachial palsy, and it did show good short-term outcome; however, the complication rate was high compared to the general population [1].…”

Section: Discussionmentioning

confidence: 99%

Linked shoulder replacement: current design problems and a new design proposal

Mohammed

Frostick

2015

Musculoskelet Surg

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“…Other reasons described are the lack of physiotherapy, ignoring the limb in daily activities, and the increase of weight of the arm due to natural growth. 29,40 One series described shoulder arthroplasty in adults: Rudge et al 41 performed a constrained anatomical shoulder arthroplasty as a final treatment option in patients with failure of secondary surgery and end-stage osteoarthritis. eight out of nine patients were satisfied with the result and the ability to perform daily tasks improved at 5.1-year follow-up.…”

Section: Discussionmentioning

confidence: 99%

Long-term functional outcome of secondary shoulder surgery in brachial plexus birth palsy patients

et al. 2023

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AimsMultiple secondary surgical procedures of the shoulder, such as soft-tissue releases, tendon transfers, and osteotomies, are described in brachial plexus birth palsy (BPBP) patients. The long-term functional outcomes of these procedures described in the literature are inconclusive. We aimed to analyze the literature looking for a consensus on treatment options.MethodsA systematic literature search in healthcare databases (PubMed, Embase, the Cochrane library, CINAHL, and Web of Science) was performed from January 2000 to July 2020, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis guidelines. The quality of the included studies was assessed with the Cochrane ROBINS-I risk of bias tool. Relevant trials studying BPBP with at least five years of follow-up and describing functional outcome were included.ResultsOf 5,941 studies, 19 were included after full-text screening. A total of 15 surgical techniques were described. All studies described an improvement in active external rotation (range 12° to 128°). A decrease in range of motion and Mallet score after long-term (five to 30 years) follow-up compared to short-term follow-up was seen in most studies.ConclusionThe literature reveals that functional outcome increases after different secondary procedures, even in the long term. Due to the poor methodological quality of the included studies and the variations in indication for surgery and surgical techniques described, a consensus on the long-term functional outcome after secondary surgical procedures in BPBP patients cannot be made.Cite this article: Bone Joint J 2023;105-B(4):455–464.

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“…As an alternative to fusion, Rudge et al. (2015) reported the results of linked total shoulder arthroplasty in nine patients with OBPI.…”

Section: Discussionmentioning

confidence: 99%

Glenohumeral fusion in adults with sequelae of obstetrical brachial plexus injury: a report of eight cases

Belkheyar

Djeffel

2018

J Hand Surg Eur Vol

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The purpose of this study was to assess the outcomes of glenohumeral fusion performed in adulthood in patients with poor recovery after obstetric brachial plexus injury. We reviewed eight patients with obstetrical brachial plexus injury who had undergone shoulder arthrodesis. The mean age was 28 years (range 16 to 55). All of the patients had active periscapular and elbow flexor muscles. At an average follow-up of 20 months, the active range of abduction and external rotation of the affected shoulder was 67° (range 50° to 85°) and 21° (range 0° to 40°), respectively. All of the patients were satisfied with the outcome of the intervention. Fusion was obtained between 3 and 6 months, and none of the patients experienced residual pain. Shoulder fusion improved the active shoulder abduction and external rotation in adults with residual obstetrical brachial plexus paralysis. Level of evidence: IV

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Shoulder linked arthroplasty in patients with obstetric brachial plexus palsy can improve quality of life and function at short-term follow-up

Cited by 9 publications

References 27 publications

Linked shoulder replacement: current design problems and a new design proposal

Linked shoulder replacement: current design problems and a new design proposal

Long-term functional outcome of secondary shoulder surgery in brachial plexus birth palsy patients

Glenohumeral fusion in adults with sequelae of obstetrical brachial plexus injury: a report of eight cases

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