Late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nail
To date, all the authors who have recommended external rotation osteotomy (ERO) in the late treatment of obstetrical brachial plexus palsy (OBPP), have neglected upper limb length discrepancy, which is an another sequelae of OBPP. In this paper, a new technique is reported for the late treatment of...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
AVES
2018-01-01
|
| Series: | Acta Orthopaedica et Traumatologica Turcica |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1017995X17302018 |
| _version_ | 1797915574904291328 |
|---|---|
| author | Ahmet Emrah Acan Onur Gursan Nihat Demirhan Demirkiran Hasan Havitcioglu |
| author_facet | Ahmet Emrah Acan Onur Gursan Nihat Demirhan Demirkiran Hasan Havitcioglu |
| author_sort | Ahmet Emrah Acan |
| collection | DOAJ |
| description | To date, all the authors who have recommended external rotation osteotomy (ERO) in the late treatment of obstetrical brachial plexus palsy (OBPP), have neglected upper limb length discrepancy, which is an another sequelae of OBPP. In this paper, a new technique is reported for the late treatment of OBPP patients with upper limb length discrepancy, in which both humeral external rotation osteotomy (ERO) and lengthening are applied with an intramedullary elongation nail. With this technique, upper limb function is improved through re-orientation of the shoulder arc to a more functional range, and further improvements will be seen in the appearance of the upper limb with the elimination of length discrepancy. It is also advocated that there is a potentiating effect of the humeral lengthening on shoulder movements gained by ERO when the osteotomy is applied above the deltoid insertion, as this allows more lateralized placement of the deltoid insertion. Keywords: Obstetrical brachial plexus palsy, Humeral lengthening, Elongation nail, Lengthening nail |
| first_indexed | 2024-04-10T12:43:45Z |
| format | Article |
| id | doaj.art-34f79ab1c244442bac863918f4648d0d |
| institution | Directory Open Access Journal |
| issn | 1017-995X |
| language | English |
| last_indexed | 2024-04-10T12:43:45Z |
| publishDate | 2018-01-01 |
| publisher | AVES |
| record_format | Article |
| series | Acta Orthopaedica et Traumatologica Turcica |
| spelling | doaj.art-34f79ab1c244442bac863918f4648d0d2023-02-15T16:14:10ZengAVESActa Orthopaedica et Traumatologica Turcica1017-995X2018-01-015217580Late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nailAhmet Emrah Acan0Onur Gursan1Nihat Demirhan Demirkiran2Hasan Havitcioglu3Dokuz Eylül University, İzmir, Turkey; Corresponding author.Dokuz Eylül University Hospital, TurkeyDokuz Eylül University Hospital, TurkeyDokuz Eylül University Hospital, TurkeyTo date, all the authors who have recommended external rotation osteotomy (ERO) in the late treatment of obstetrical brachial plexus palsy (OBPP), have neglected upper limb length discrepancy, which is an another sequelae of OBPP. In this paper, a new technique is reported for the late treatment of OBPP patients with upper limb length discrepancy, in which both humeral external rotation osteotomy (ERO) and lengthening are applied with an intramedullary elongation nail. With this technique, upper limb function is improved through re-orientation of the shoulder arc to a more functional range, and further improvements will be seen in the appearance of the upper limb with the elimination of length discrepancy. It is also advocated that there is a potentiating effect of the humeral lengthening on shoulder movements gained by ERO when the osteotomy is applied above the deltoid insertion, as this allows more lateralized placement of the deltoid insertion. Keywords: Obstetrical brachial plexus palsy, Humeral lengthening, Elongation nail, Lengthening nailhttp://www.sciencedirect.com/science/article/pii/S1017995X17302018 |
| spellingShingle | Ahmet Emrah Acan Onur Gursan Nihat Demirhan Demirkiran Hasan Havitcioglu Late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nail Acta Orthopaedica et Traumatologica Turcica |
| title | Late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nail |
| title_full | Late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nail |
| title_fullStr | Late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nail |
| title_full_unstemmed | Late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nail |
| title_short | Late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nail |
| title_sort | late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nail |
| url | http://www.sciencedirect.com/science/article/pii/S1017995X17302018 |
| work_keys_str_mv | AT ahmetemrahacan latetreatmentofobstetricalbrachialplexuspalsybyhumeralrotationalosteotomyandlengtheningwithanintramedullaryelongationnail AT onurgursan latetreatmentofobstetricalbrachialplexuspalsybyhumeralrotationalosteotomyandlengtheningwithanintramedullaryelongationnail AT nihatdemirhandemirkiran latetreatmentofobstetricalbrachialplexuspalsybyhumeralrotationalosteotomyandlengtheningwithanintramedullaryelongationnail AT hasanhavitcioglu latetreatmentofobstetricalbrachialplexuspalsybyhumeralrotationalosteotomyandlengtheningwithanintramedullaryelongationnail |