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Báo cáo y học: "urgical correction of unsuccessful derotational humeral osteotomy in obstetric brachial plexus palsy: Evidence of the significance of scapular deformity in the pathophysiology of the medial rotation contracture"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí yhọc Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: Surgical correction of unsuccessful derotational humeral osteotomy in obstetric brachial plexus palsy: Evidence of the significance of scapular deformity in the pathophysiology of the medial rotation contracture. | Journal of Brachial Plexus and Peripheral Nerve Injury BioMed Central Research article Surgical correction of unsuccessful derotational humeral osteotomy in obstetric brachial plexus palsy Evidence of the significance of scapular deformity in the pathophysiology of the medial rotation contracture Rahul K Nath Sonya E Melcher and Melia Paizi Open Access Address Texas Nerve and Paralysis Institute 2201 W. Holcombe Blvd. Houston TX USA Email Rahul K Nath - dmath@dmathmedical.com Sonya E Melcher - sonya@drnathmedical.com Melia Paizi - melia@drnathmedical.com Corresponding author Published 27 December 2006 Received 06 November 2006 Journal of Brachial Plexus and Peripheral Nerve Injury 2006 1 9 doi 10.1186 1749-7221-1- Accepted 27 December 2006 9 This article is available from http www.JBPPNI.cOm content 1 1 9 2006 Nath et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http creativecommons.org licenses by 2.0 which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background The current method of treatment for persistent internal rotation due to the medial rotation contracture in patients with obstetric brachial plexus injury is humeral derotational osteotomy. While this procedure places the arm in a more functional position it does not attend to the abnormal glenohumeral joint. Poor positioning of the humeral head secondary to elevation and rotation of the scapula and elongated acromion impingement causes functional limitations which are not addressed by derotation of the humerus. Progressive dislocation caused by the abnormal positioning and shape of the scapula and clavicle needs to be treated more directly. Methods Four patients with Scapular Hypoplasia Elevation And Rotation SHEAR deformity who had undergone unsuccessful .