Loss of Midline Function in Brachial Plexus Birth Palsy Patients

Journal of Pediatric Orthopedics
Joshua M AbzugScott H Kozin

Abstract

Loss of midline function impairs the child's ability to perform certain activities of daily living such as dressing, buttoning, and perineal care. The purpose of this study was to assess brachial plexus birth palsy (BPBP) patients with loss of midline function with respect to etiology and treatment. A retrospective review of all BPBP patients with loss of midline function was performed. The modified Mallet scale was used with internal rotation assessed via hand on spine and hand to belly. Demographics, extent of BPBP, prior surgical intervention, procedure(s) performed to correct the loss of midline function, complications, and outcomes were assessed. In total, 20 patients were identified with loss of midline function as defined by the inability to reach midline and touch their umbilicus. Nineteen patients had previously undergone tendon transfers about the shoulder with or without arthroscopic capsular release to improve external rotation. After the initial surgery, modified Mallet scores improved 1 grade for abduction, hand to mouth, hand to neck, and external rotation without altering the hand to spine category. However, the internal rotation category (hand to umbilicus) decreased from an average 2.71 preoperatively to an av...Continue Reading

References

Aug 11, 1998·The Journal of Bone and Joint Surgery. American Volume·M M Hoffer, G J Phipps
Jul 23, 1999·Clinical Orthopaedics and Related Research·P M Waters, A E Peljovich
Sep 5, 2003·The Journal of Bone and Joint Surgery. American Volume·Donald S BaeDavid Zurakowski
May 3, 2006·The Journal of Bone and Joint Surgery. American Volume·Peter M Waters, Donald S Bae
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

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Citations

Dec 6, 2019·The Journal of Bone and Joint Surgery. American Volume·Kelly VanderhaveRaymond Liu
Mar 20, 2020·Hand : Official Journal of the American Association for Hand Surgery·Joshua M AbzugScott H Kozin
Aug 3, 2020·Plastic and Reconstructive Surgery·Widya AdidharmaRaymond W Tse
May 8, 2020·Plastic and Reconstructive Surgery·Widya AdidharmaRaymond W Tse

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