Results of Operative Treatment of Brachial Plexus Injury Resulting from Shoulder Dislocation: A Study with A Long-Term Follow-Up

2017 ◽  
Vol 105 ◽  
pp. 623-631 ◽  
Author(s):  
Olga Gutkowska ◽  
Jacek Martynkiewicz ◽  
Sylwia Mizia ◽  
Michał Bąk ◽  
Jerzy Gosk
Keyword(s):  
Brachial Plexus ◽  
Operative Treatment ◽  
Shoulder Dislocation ◽  
Brachial Plexus Injury ◽  
Long Term Follow Up

Obstetrical brachial plexus injuries: Late functional results of the Steindler procedure

2014 ◽  
Vol 39 (8) ◽  
pp. 868-875 ◽  
Author(s):  
A. Gilbert ◽  
S. Valbuena ◽  
C. Posso
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Injury ◽  
Elbow Flexion ◽  
Functional Results ◽  
Obstetrical Brachial Plexus Palsy ◽  
Long Term Follow Up ◽  
The Mean ◽  
Extensor Lag

We reviewed late functional results of a modified Steindler procedure in patients with obstetrical brachial plexus palsy and poor active elbow flexion. From 1982 to 2005, we reviewed final functional results and complications of 27 cases with flexion weakness of the elbow secondary to obstetrical brachial plexus injury, treated with a modified Steindler procedure. At the end of the follow-up, the mean active elbow flexion was 97° and the mean extensor lag was 10°. In the long-term follow-up, the modified Steindler procedure maintained good results in 67% of the cases in our series, and this percentage raised by 82% when the wrist extensor was present or restored before the Steindler procedure. There were poor results in 19% of the patients, but no major complications.

Treatment of Refractory Pain after Brachial Plexus Avulsion with Dorsal Root Entry Zone Lesions

Neurosurgery ◽  
2001 ◽  
Vol 48 (6) ◽  
pp. 1269-1277 ◽  
Author(s):  
Madjid Samii ◽  
Steffani Bear-Henney ◽  
Wolf Lüdemann ◽  
Marcos Tatagiba ◽  
Ulrike Blömer
Keyword(s):  
Brachial Plexus ◽  
Dorsal Root ◽  
Intractable Pain ◽  
Entry Zone ◽  
Dorsal Root Entry Zone ◽  
Root Entry Zone ◽  
Long Term Follow Up ◽  
Cervical Root

Abstract OBJECTIVE Significant numbers of patients experience intractable pain after brachial plexus root avulsions. Medications and surgical procedures such as amputation of the limb are often not successful in pain treatment. METHODS Forty-seven patients with intractable pain after traumatic cervical root avulsions were treated with dorsal root entry zone coagulation between 1980 and 1998. The dorsal root entry zone coagulation procedure was performed 4 months to 12 years after the trauma, and patients were monitored for up to 18 years (average follow-up period, 14 yr). RESULTS Immediately after surgery, 75% of patients experienced significant pain reduction; this value was reduced to 63% during long-term follow-up monitoring. Nine patients experienced major complications, including subdural hematomas (n = 2) and motor weakness of the lower limb (n = 7). Improved coagulation electrodes with thermistors that could produce smaller and more-accurate lesion sizes, which were introduced in 1989, significantly reduced the number of complications. CONCLUSION Central deafferentation pain that persists and becomes intractable among patients with traumatic cervical root avulsions has been difficult to treat in the past. Long-term follow-up monitoring of patients who underwent the dorsal root entry zone coagulation procedure in the cervical cord indicated that long-lasting satisfactory relief is possible for the majority of individuals, with acceptable morbidity rates.

scholarly journals Latarjet procedure for failed arthroscopic Bankart repair: a case report

2020 ◽  
Vol 8 (5) ◽  
pp. 1921
Author(s):  
I. G. N. Wien Aryana ◽  
Rizki Zainuraditya
Keyword(s):  
Shoulder Dislocation ◽  
Coracoid Process ◽  
Bankart Repair ◽  
Anterior Shoulder Dislocation ◽  
Latarjet Procedure ◽  
Recurrence Rates ◽  
Arthroscopic Bankart Repair ◽  
Long Term Follow Up

Arthroscopic Bankart Repair (ABR) provides acceptable results for recurrent anterior shoulder dislocation. However, recent studies have shown recurrent rates of 4-19% or even up to 35-40% in patients aged <25 years, and the results tend to get worse after long-term follow-up. The Latarjet procedure can improve anterior stability by multiple mechanisms, not only can the Bankart lesion be repaired and provide stability, but the transfer of the coracoid process extends the bony articular arc of the glenoid, and the addition of the conjoint tendon may provide dynamic stability as well. The Latarjet procedure for correcting recurrent anterior shoulder dislocation led to good and excellent results in 82.7% of the cases. The Latarjet procedure had the lowest re-dislocation rate, which was significantly lower than the arthroscopic Bankart repair. Latarjet procedure is effective in terms of restoring anteroinferior glenohumeral stability and good option for failed arthroscopic Bankart repair. Recurrence rates of instability are acceptable and re-operation rates were low.

scholarly journals Long-term follow-up of lung transplant recipients supports non-operative treatment of uncomplicated diverticulitis

2016 ◽  
Vol 30 (10) ◽  
pp. 1264-1270 ◽  
Author(s):  
Diana Vetter ◽  
Macé M. Schuurmans ◽  
Christian Benden ◽  
Pierre-Alain Clavien ◽  
Antonio Nocito
Keyword(s):  
Operative Treatment ◽  
Lung Transplant ◽  
Transplant Recipients ◽  
Uncomplicated Diverticulitis ◽  
Long Term Follow Up ◽  
Lung Transplant Recipients

scholarly journals Tumour like lesions and their management: a retrospective study

2017 ◽  
Vol 4 (1) ◽  
pp. 159
Author(s):  
Kuriakku Puthur Dominic ◽  
Davis Dijoe ◽  
Libin Thomas Manathara
Keyword(s):  
Retrospective Study ◽  
Operative Treatment ◽  
Conservative Management ◽  
Pathological Fracture ◽  
Long Term Follow Up ◽  
Radical Approach

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Tumour like lesions of the bone is a frequently used term but has not yet been clearly defined. There are no definite guidelines available for their management. The present study was aimed to evaluate the tumour like lesions and their management.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Cases of tumour like lesions managed in the Cancer Institute during the last two decades were systematically analyzed. By and large non aggressive and non-operative treatment was given in all conditions</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">One hundred and twenty seven cases of tumour like lesions managed. As they are not tumours, basics of tumour surgery need not be applied to them. Outcome of conservative management of tumour like lesions was very encouraging on long term follow-up. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Most of the cases with lesser interventions produced better results. They need to be treated only if they are symptomatic or likely to produce a pathological fracture. Even in such situations, one need not take a radical approach.</span></p><p class="abstract"> </p>

scholarly journals Long term follow up results of a pediatric brachial plexus laceration

2013 ◽  
Vol 19 (5) ◽  
pp. 485-487
Author(s):  
Sinan Oksuz ◽  
Huseyin Karagoz ◽  
Yalcin Kulahci ◽  
Ersin Ulkur ◽  
Asim Uslu
Keyword(s):  
Brachial Plexus ◽  
Long Term Follow Up

Long-term Follow-up after Operative Treatment of Hydrocephalus Starting 14 Years P.O.

1981 ◽  
Vol 34 (10) ◽  
pp. 108-110
Author(s):  
D. Lim ◽  
R. Kieken ◽  
S. Tiyaworabun ◽  
R. Pothmann ◽  
W. Bock
Keyword(s):  
Operative Treatment ◽  
Long Term Follow Up
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