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

Pediatric Surgery International
R K NathJilao Fan

Abstract

The purpose of this study was to evaluate long-term shoulder functional outcomes from a triangle tilt procedure on obstetric patients, who initially presented with medial rotation contracture and scapular deformity secondary to obstetric brachial plexus injury. We retrospectively studied long-term outcomes both functionally and anatomically in 61 patients (age ranging from 2 to 12 years). Functional movements were evaluated and scored using a modified Mallet scale at different time intervals: preoperatively, 1 year and 2 year following triangle tilt surgery. Shoulder anatomy was examined on radiologic images to evaluate the severity of shoulder deformities preoperatively and anatomical improvement after the surgery. All shoulder functional movements were significantly improved at 1 and 2 year follow-ups. Functional improvements were maintained in shoulder abduction, external rotation and hand-to-mouth movements beyond the first year, and continued in hand-to-neck and hand-to-spine movements past 2 years. Remarkable glenohumeral remodeling or reservation of glenoid congruence was observed in all patients over a mean time of 27 months postoperatively. The triangle tilt procedure, which addresses scapular and glenohumeral joint ab...Continue Reading

References

Jun 4, 1998·The Journal of Bone and Joint Surgery. American Volume·P M WatersD Jaramillo
Nov 4, 1998·The Journal of Bone and Joint Surgery. American Volume·J M Kirkos, I A Papadopoulos
May 31, 2001·The Journal of Bone and Joint Surgery. British Volume·J A van der SluijsR A Manoliu
May 17, 2002·The Journal of Hand Surgery·Mohammad M Al-Qattan
Jul 16, 2003·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Michael L Pearl
Sep 5, 2003·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·M M Al-Qattan
Feb 3, 2005·The Journal of Bone and Joint Surgery. American Volume·Peter M Waters, Donald S Bae
Nov 16, 2005·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Y Safoury
May 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Peter M Waters, Donald S Bae
Aug 26, 2006·Journal of Pediatric Orthopedics·Tarek Abdalla El-GammalNihal Ahmad Fathi
Oct 24, 2006·Journal of Shoulder and Elbow Surgery·David I PedowitzScott H Kozin
Jan 31, 2007·Surgical and Radiologic Anatomy : SRA·Rahul K Nath, Melia Paizi
Jun 2, 2007·The Journal of Bone and Joint Surgery. British Volume·R K Nath, M Paizi
Dec 7, 2007·The Journal of Bone and Joint Surgery. British Volume·R K NathM Paizi
Jun 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Susan L FoadJun Ying
Oct 3, 2008·The Journal of Bone and Joint Surgery. American Volume·Peter M Waters, Donald S Bae
Apr 7, 2009·Orthopaedics & Traumatology, Surgery & Research : OTSR·E Soucanye de LandevoisinG Bollini

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Citations

Jul 30, 2010·Pediatric Surgery International·Rahul K NathPriyanka Karicherla
May 14, 2011·The Open Orthopaedics Journal·Rahul K NathFaiz Mahmooduddin
Jun 5, 2013·The Open Orthopaedics Journal·Rahul K Nath, Chandra Somasundaram
Jan 23, 2015·The Journal of Bone and Joint Surgery. American Volume·Emily A EismannRoger Cornwall
Mar 13, 2019·Plastic and Reconstructive Surgery. Global Open·Rahul K Nath, Chandra Somasundaram

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