A protocol-based treatment plan to improve shoulder function in children with brachial plexus birth injury: a comparative study
| العنوان: | A protocol-based treatment plan to improve shoulder function in children with brachial plexus birth injury: a comparative study |
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| المؤلفون: | Petra Grahn, Yrjänä Nietosvaara, Antti Sommarhem |
| المصدر: | Journal of Hand Surgery (European Volume). 47:248-256 |
| بيانات النشر: | SAGE Publications, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Subluxation, 030222 orthopedics, medicine.medical_specialty, business.industry, Incidence (epidemiology), 030230 surgery, medicine.disease, Birth injury, 3. Good health, Surgery, 03 medical and health sciences, 0302 clinical medicine, Treatment plan, medicine, Deformity, Shoulder function, medicine.symptom, business, Brachial plexus, Posterior shoulder |
| الوصف: | Children with permanent brachial plexus birth injury have a high risk of developing posterior shoulder subluxation. In 2010, we implemented a protocol to reduce the incidence of this deformity, including early passive exercises, ultrasound screening, botulinum toxin-A injections, shoulder splinting and targeted surgeries. Two-hundred and thirty-seven consecutive children treated at our institution, with a mean follow-up of 11 years (range 1 to 17) were compared in three groups: children born from 1995 to 1999 ( n = 53), 2000–2009 ( n = 109) and 2010–2019 ( n = 75). Posterior shoulder subluxation developed in 48% of all patients but the mean age at detection of shoulder subluxation decreased from 5 years to 4.9 months. Need for shoulder relocation surgery also decreased from 28% to 7%. Mean active shoulder external rotation in adduction improved from 2° to 46°. In conclusion, our established protocol has the potential to reduce the incidence of posterior shoulder subluxation in children with brachial plexus birth injury. Level of evidence: II |
| تدمد: | 2043-6289 1753-1934 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_________::d8ff02134bcdfc98ceb2f5b2f0ab3247 https://doi.org/10.1177/17531934211056998 |
| حقوق: | CLOSED |
| رقم الأكسشن: | edsair.doi...........d8ff02134bcdfc98ceb2f5b2f0ab3247 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20436289 17531934 |
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