Outcomes of humeral osteotomies versus soft-tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy: a meta-analysis
Secondary surgical procedures can be used in brachial plexus birth injury to correct shoulder movement imbalances. This study compares outcomes of the two secondary surgical procedure types: humeral osteotomies and soft tissue procedures. Outcome measures assessed included active and passive interna...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-11-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1267064/full |
| _version_ | 1827762638838300672 |
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| author | Amanda Azer Dhruv Mendiratta Anthony Saad Yajie Duan Matthew Cedarstrand Sree Chinta Aedan Hanna Dhvani Shihora Aleksandra McGrath Aleksandra McGrath Alice Chu |
| author_facet | Amanda Azer Dhruv Mendiratta Anthony Saad Yajie Duan Matthew Cedarstrand Sree Chinta Aedan Hanna Dhvani Shihora Aleksandra McGrath Aleksandra McGrath Alice Chu |
| author_sort | Amanda Azer |
| collection | DOAJ |
| description | Secondary surgical procedures can be used in brachial plexus birth injury to correct shoulder movement imbalances. This study compares outcomes of the two secondary surgical procedure types: humeral osteotomies and soft tissue procedures. Outcome measures assessed included active and passive internal and external rotation, active and passive abduction and adduction, active and passive flexion and extension, percentage of the humeral head anterior to the middle glenoid fossa, glenoid version, and Mallet Score. Nineteen full-text articles were included in the analysis. Humeral osteotomies resulted in a loss of internal rotation postoperatively (−15.94°). Active internal rotation was not evaluated for soft tissue procedures. All other assessed outcomes were improved postoperatively for bony and soft tissue procedures. Bony procedures exhibited a greater degree of active external rotation postoperatively when compared to soft tissue procedures (+67° vs. +40°). Both bony and soft tissue procedures Improve shoulder function in children with neonatal brachial plexus palsy, however, soft tissue procedures showed greater consistency in outcomes.Level of Evidence: IV |
| first_indexed | 2024-03-11T10:33:27Z |
| format | Article |
| id | doaj.art-49e536da0d034a8fab7d464b13d37a9b |
| institution | Directory Open Access Journal |
| issn | 2296-875X |
| language | English |
| last_indexed | 2024-03-11T10:33:27Z |
| publishDate | 2023-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj.art-49e536da0d034a8fab7d464b13d37a9b2023-11-14T11:49:13ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2023-11-011010.3389/fsurg.2023.12670641267064Outcomes of humeral osteotomies versus soft-tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy: a meta-analysisAmanda Azer0Dhruv Mendiratta1Anthony Saad2Yajie Duan3Matthew Cedarstrand4Sree Chinta5Aedan Hanna6Dhvani Shihora7Aleksandra McGrath8Aleksandra McGrath9Alice Chu10Rutgers New Jersey Medical School, Newark, NJ, United StatesRutgers New Jersey Medical School, Newark, NJ, United StatesRutgers New Jersey Medical School, Newark, NJ, United StatesDepartment of Statistics, Rutgers University, Newark, NJ, United StatesDepartment of Orthopaedics, Rutgers New Jersey Medical School, Newark, NJ, United StatesRutgers New Jersey Medical School, Newark, NJ, United StatesRutgers New Jersey Medical School, Newark, NJ, United StatesRutgers New Jersey Medical School, Newark, NJ, United StatesDepartment of Clinical Sciences, Umeå- University, Umeå, SwedenDepartment of Surgical and Perioperative Sciences, Umeå University, Umeå, SwedenDepartment of Orthopaedics, Rutgers New Jersey Medical School, Newark, NJ, United StatesSecondary surgical procedures can be used in brachial plexus birth injury to correct shoulder movement imbalances. This study compares outcomes of the two secondary surgical procedure types: humeral osteotomies and soft tissue procedures. Outcome measures assessed included active and passive internal and external rotation, active and passive abduction and adduction, active and passive flexion and extension, percentage of the humeral head anterior to the middle glenoid fossa, glenoid version, and Mallet Score. Nineteen full-text articles were included in the analysis. Humeral osteotomies resulted in a loss of internal rotation postoperatively (−15.94°). Active internal rotation was not evaluated for soft tissue procedures. All other assessed outcomes were improved postoperatively for bony and soft tissue procedures. Bony procedures exhibited a greater degree of active external rotation postoperatively when compared to soft tissue procedures (+67° vs. +40°). Both bony and soft tissue procedures Improve shoulder function in children with neonatal brachial plexus palsy, however, soft tissue procedures showed greater consistency in outcomes.Level of Evidence: IVhttps://www.frontiersin.org/articles/10.3389/fsurg.2023.1267064/fullneonatal brachial plexus birth palsysecondary surgeryosteotomymuscle transfertendon transfer |
| spellingShingle | Amanda Azer Dhruv Mendiratta Anthony Saad Yajie Duan Matthew Cedarstrand Sree Chinta Aedan Hanna Dhvani Shihora Aleksandra McGrath Aleksandra McGrath Alice Chu Outcomes of humeral osteotomies versus soft-tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy: a meta-analysis Frontiers in Surgery neonatal brachial plexus birth palsy secondary surgery osteotomy muscle transfer tendon transfer |
| title | Outcomes of humeral osteotomies versus soft-tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy: a meta-analysis |
| title_full | Outcomes of humeral osteotomies versus soft-tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy: a meta-analysis |
| title_fullStr | Outcomes of humeral osteotomies versus soft-tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy: a meta-analysis |
| title_full_unstemmed | Outcomes of humeral osteotomies versus soft-tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy: a meta-analysis |
| title_short | Outcomes of humeral osteotomies versus soft-tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy: a meta-analysis |
| title_sort | outcomes of humeral osteotomies versus soft tissue procedures in secondary surgical procedures for neonatal brachial plexus palsy a meta analysis |
| topic | neonatal brachial plexus birth palsy secondary surgery osteotomy muscle transfer tendon transfer |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2023.1267064/full |
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