Shoulder external rotation tendon transfers for brachial plexus birth palsy

Kurt A. Anderson; Mary Ann O'Dell; Michelle James

doi:10.1097/00130911-200606000-00002

Shoulder external rotation tendon transfers for brachial plexus birth palsy

Kurt A. Anderson, Mary Ann O'Dell, Michelle James

Orthopaedic Surgery

Research output: Contribution to journal › Article › peer-review

8 Scopus citations

Abstract

Children with brachial plexus birth palsy may have permanent loss of shoulder external rotation strength. This impairment may result to a difficulty in reaching the face and head with the affected hand for grooming activities, and in reaching overhead for participation in sports or work-related tasks. In addition, the contracture that results from unopposed internal rotation may further restrict range of motion and cause glenohumeral joint deformity and subluxation.A combination of muscle release and transfers reliably improves the child's ability to position the hand, and may halt the development of joint deformity. Postoperative rehabilitation is necessary to maximize the strength and range of motion obtained from this operation.

Original language	English (US)
Pages (from-to)	60-67
Number of pages	8
Journal	Techniques in Hand and Upper Extremity Surgery
Volume	10
Issue number	2
DOIs	https://doi.org/10.1097/00130911-200606000-00002
State	Published - Jun 2006

Keywords

Brachial plexus birth palsy
Pediatric
Shoulder
Tendon transfer

ASJC Scopus subject areas

Surgery

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10.1097/00130911-200606000-00002

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abstract = "Children with brachial plexus birth palsy may have permanent loss of shoulder external rotation strength. This impairment may result to a difficulty in reaching the face and head with the affected hand for grooming activities, and in reaching overhead for participation in sports or work-related tasks. In addition, the contracture that results from unopposed internal rotation may further restrict range of motion and cause glenohumeral joint deformity and subluxation.A combination of muscle release and transfers reliably improves the child's ability to position the hand, and may halt the development of joint deformity. Postoperative rehabilitation is necessary to maximize the strength and range of motion obtained from this operation.",

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AU - James, Michelle

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AB - Children with brachial plexus birth palsy may have permanent loss of shoulder external rotation strength. This impairment may result to a difficulty in reaching the face and head with the affected hand for grooming activities, and in reaching overhead for participation in sports or work-related tasks. In addition, the contracture that results from unopposed internal rotation may further restrict range of motion and cause glenohumeral joint deformity and subluxation.A combination of muscle release and transfers reliably improves the child's ability to position the hand, and may halt the development of joint deformity. Postoperative rehabilitation is necessary to maximize the strength and range of motion obtained from this operation.

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