Transfer of Pectoralis Major to Subscapularis in the Management of Brachial Plexus Birth Palsy Sequels

(2017) Transfer of Pectoralis Major to Subscapularis in the Management of Brachial Plexus Birth Palsy Sequels. Journal of Pediatric Orthopaedics. pp. 305-310. ISSN 0271-6798

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Abstract

Background: Limitations in abduction and external rotation are the sequel of brachial palsy. The purpose of this study was to evaluate functional outcomes of modified L'Episcopo procedure in children with brachial palsy who do not have gross shoulder joint subluxation. Methods: From 2002 to 2012, a continuous series of 22 patients with brachial plexus birth palsy underwent a modified L'Episcopo procedure. Through an axillary approach, subscapularis release with latissimus dorsi rerouting and transfer of pectoralis major to subscapularis footprint was performed. Results: The mean age of patients at surgery was 49 months. The mean follow-up time was 51 months (range, 24 to 90 mo). Preoperatively, the mean active abduction and external rotation were 77.5 and 2.5 degrees, respectively. The mean active abduction and external rotation were 135.6 and 32 degrees, respectively, at the final follow-up (P < 0.001). Conclusions: This modified L'Episcopo technique is an effective and reproducible procedure that improves shoulder function significantly.

Item Type: Article
Keywords: brachial plexus palsy tendon transfer function glenohumeral deformity secondary tendon transfers shoulder contracture external rotation natural-history release reconstruction outcomes children injury
Divisions: Faculty of Medicine > Departments of Clinical Sciences > Department of Pediatrics
Page Range: pp. 305-310
Journal or Publication Title: Journal of Pediatric Orthopaedics
Journal Index: ISI
Volume: 37
Number: 5
Identification Number: https://doi.org/10.1097/Bpo.0000000000000648
ISSN: 0271-6798
Depositing User: مهندس مهدی شریفی
URI: http://eprints.mui.ac.ir/id/eprint/454

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