scholarly journals Long-term outcomes of triangle tilt surgery for obstetric brachial plexus injury

2010 ◽  
Vol 26 (4) ◽  
pp. 393-399 ◽  
Author(s):  
Rahul K. Nath ◽  
Xiaomei Liu ◽  
Sonya E. Melcher ◽  
Jilao Fan
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Long Term Outcomes ◽  
Obstetric Brachial Plexus ◽  
Obstetric Brachial Plexus Injury

scholarly journals Extended Long-Term (5 Years) Outcomes of Triangle Tilt Surgery in Obstetric Brachial Plexus Injury

2013 ◽  
Vol 7 (1) ◽  
pp. 94-98 ◽  
Author(s):  
Rahul K Nath ◽  
Chandra Somasundaram
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
External Rotation ◽  
Functional Score ◽  
Age At Surgery ◽  
Medial Rotation ◽  
Obstetric Brachial Plexus ◽  
Functional Movements ◽  
Obstetric Brachial Plexus Injury

Objective: We evaluated the "extended" long-term (5 years) functional outcomes in obstetric brachial plexus injury (OBPI) patients, who underwent triangle tilt surgery between February 2005 and January 2008. Methods: Twenty two children (9 girls and 13 boys, mean age at surgery was 5.8 years; ranging 2.1-11.8 years old), who initially presented with medial rotation contracture and scapula deformity secondary to obstetric brachial plexus injury were included in this study. Functional movements were evaluated pre-operatively, and 5 years following triangle tilt surgery by modified Mallet scale. Results: Here, we report long-term (5 years) follow-up of triangle tilt surgery for 22 OBPI patients. Upper extremity functional movements such as, external rotation (2.5±0.6 to 4.1±0.8, p<0.0001), hand-to-spine (2.6±0.6 to 3.4±1.1, p<0.005), hand-to-neck (2.7±0.7 to 4.3±0.7, p<0.0001), hand-to-mouth (2.3±0.9 (92º±33) to 4.2±0.5 (21º±16), p<0.0001), and supination (2.6±1.1 (-8.2º ±51) to 4.1±0.7 (61±32)) were significantly improved (p<0.0001), and maintained over the extended long-term (5 years). Total modified Mallet functional score was also shown to improve from 14.1±2.7 to 20.3±2.5. Conclusions: The triangle tilt surgery improved all shoulder functions significantly, and maintained over the extended long-term (5 years) in these patients.

Comparing the Efficacy of Triple Nerve Transfers with Nerve Graft Reconstruction in Upper Trunk Obstetric Brachial Plexus Injury

2017 ◽  
Vol 140 (4) ◽  
pp. 747-756 ◽  
Author(s):  
Kathleen M. O’Grady ◽  
Hollie A. Power ◽  
Jaret L. Olson ◽  
Michael J. Morhart ◽  
A. Robertson Harrop ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Nerve Graft ◽  
Nerve Transfers ◽  
Obstetric Brachial Plexus ◽  
Graft Reconstruction ◽  
Obstetric Brachial Plexus Injury

The Effects of Virtual Reality on Upper Extremity in Patients with Obstetric Brachial Plexus Injury

2021 ◽  
Author(s):  
Havva Ezgi Karas ◽  
Emine Atıcı ◽  
Gamze Aydın ◽  
Mert Demirsöz
Keyword(s):  
Virtual Reality ◽  
Brachial Plexus ◽  
Upper Extremity ◽  
Brachial Plexus Injury ◽  
Control Group ◽  
Nintendo Wii ◽  
Significant Difference ◽  
Obstetric Brachial Plexus ◽  
Conventional Physiotherapy ◽  
Obstetric Brachial Plexus Injury

AbstractThe present study aimed to examine the effects of playing Nintendo Wii games on upper extremity functions compared with conventional physiotherapy, in children with obstetric brachial plexus injury (OBPI). Twenty-two patients with brachial plexus injuries were enrolled. The patients were divided into two groups by simple randomization. The control group (conventional physiotherapy group [CTG]: n = 11) received conventional physiotherapy for 6 weeks (40 minutes per day, for 4 days per week). The study group, called Nintendo Wii group (NWG; n = 11), received conventional physiotherapy as well as tennis, baseball, and boxing games with Nintendo Wii on days when there was no physical therapy. The upper extremity range of motion (ROM) was evaluated using a digital goniometer, motor function was assessed using the Active Movement Scale (AMS), and shoulder functions were assessed with the Mallet Scoring System (MSS). Virtual reality treatment had a positive effect on shoulder flexion, forearm pronation, wrist flexion, ROM, and functionality (p < 0.05). There was a significant improvement in shoulder abduction and shoulder external rotation in the CTG (p < 0.05). There was no significant difference in the MSS values of either groups (p > 0.05). As per the AMS, in the NWG, the shoulder internal rotation increased significantly (p < 0.05). Nintendo Wii treatment used in addition to conventional physiotherapy may be effective in increasing upper extremity functions in children with OBPI. Clinical Trials Number NCT04605601.

scholarly journals Bilateral obstetric brachial plexus injury: A case report

2013 ◽  
Vol 88 (3) ◽  
pp. 267-272
Author(s):  
Kamila Okulczyk ◽  
Bożena Okurowska-Zawada ◽  
Janusz Wojtkowski ◽  
Anna Kalinowska ◽  
Anna Mirska ◽  
...  
Keyword(s):  
Case Report ◽  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Obstetric Brachial Plexus ◽  
Obstetric Brachial Plexus Injury

scholarly journals What Range of Motion is Achieved 5 Years After External Rotationplasty of the Shoulder in Infants with an Obstetric Brachial Plexus Injury?

2020 ◽  
Vol 478 (1) ◽  
pp. 114-123
Author(s):  
Cigdem Sarac ◽  
Hassan Amghar ◽  
Marc J. Nieuwenhuijse ◽  
Jochem Nagels ◽  
Sonja M. Buitenhuis ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Range Of Motion ◽  
Brachial Plexus Injury ◽  
Obstetric Brachial Plexus ◽  
Obstetric Brachial Plexus Injury
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