Follow-up Study on the Effects of Tendon Transfers and Open Reduction on Moderate Glenohumeral Joint Deformity in Brachial Plexus Birth Injury.

The Journal of Bone and Joint Surgery. American Volume
Carley VuillerminPeter M Waters

Abstract

Soft-tissue contractures about the shoulder in patients with brachial plexus birth injury are common and can lead to progressive shoulder displacement and glenohumeral dysplasia. Open or arthroscopic reduction with musculotendinous lengthening and tendon transfers have become the standard of care. The clinical function and radiographic joint remodeling beyond the first 2 years after surgery are not well understood. We performed a follow-up study of 20 patients with preexisting mild to moderate glenohumeral joint deformity who had undergone open glenohumeral joint reduction with latissimus dorsi and teres major tendon transfers and concomitant musculotendinous lengthening of the pectoralis major and/or subscapularis. Prospective collection of Modified Mallet and Active Movement Scale (AMS) scores and radiographic analysis of cross-sectional imaging for glenoid version, humeral head subluxation, and glenohumeral joint deformity classification were analyzed for changes over time. The average duration of radiographic follow-up was 4.2 years (range, 2 to 6 years). The mean glenoid version improved from -31.8° to -15.4° (p < 0.0001). The mean percentage of the humeral head anterior to the middle of the glenoid (PHHA) improved from 9....Continue Reading

References

Nov 1, 1984·Journal of Pediatric Orthopedics·A G GreenwaldJ L Shiveley
Feb 1, 1981·The Journal of Bone and Joint Surgery. British Volume·A E Hardy
Sep 1, 1993·The Journal of Bone and Joint Surgery. American Volume·S TroumP M Waters
Jun 4, 1998·The Journal of Bone and Joint Surgery. American Volume·P M WatersD Jaramillo
Sep 24, 1998·Journal of Pediatric Orthopedics·I Torode, L Donnan
Sep 5, 2003·The Journal of Bone and Joint Surgery. American Volume·Donald S BaeDavid Zurakowski
Mar 18, 2008·The Journal of Hand Surgery·Zhongyu LiL Andrew Koman
Jun 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Susan L FoadJun Ying
Aug 9, 2008·The Journal of Hand Surgery, European Volume·F EinarssonJ Fridén
Oct 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Peter M Waters, Donald S Bae
Oct 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Peter M WatersDonald S Bae
Oct 14, 2009·The Journal of Bone and Joint Surgery. American Volume·Peter M Waters, Donald S Bae
Apr 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Simone HogendoornRob G H H Nelissen
Mar 4, 2011·The Journal of Bone and Joint Surgery. American Volume·Sia NikolaouRoger Cornwall
May 9, 2014·Obstetrics and Gynecology·Lindley B WallMarybeth Ezaki
Aug 8, 2015·The Journal of Bone and Joint Surgery. American Volume·Dustin L CrouchKatherine R Saul

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.