The Pathogenesis of Glenohumeral Deformity and Contracture Formation in Obstetric Brachial Plexus Palsy—A Review
Contractures of the shoulder joint and glenohumeral joint dysplasia are well known complications to obstetrical brachial plexus palsy. Despite extensive description of these sequelae, the exact pathogenesis remains unknown. The prevailing theory to explain the contractures and glenohumeral joint dys...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Georg Thieme Verlag KG
2019-01-01
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| Series: | Journal of Brachial Plexus and Peripheral Nerve Injury |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1692420 |
| _version_ | 1828491388655763456 |
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| author | Pontus N. Olofsson Alice Chu Aleksandra M. McGrath |
| author_facet | Pontus N. Olofsson Alice Chu Aleksandra M. McGrath |
| author_sort | Pontus N. Olofsson |
| collection | DOAJ |
| description | Contractures of the shoulder joint and glenohumeral joint dysplasia are well known complications to obstetrical brachial plexus palsy. Despite extensive description of these sequelae, the exact pathogenesis remains unknown. The prevailing theory to explain the contractures and glenohumeral joint dysplasia states that upper trunk injury leads to nonuniform muscle recovery and thus imbalance between internal and external rotators of the shoulder. More recently, another explanation has been proposed, hypothesizing that denervation leads to reduced growth of developing muscles and that reinnervation might suppress contracture formation. An understanding of the pathogenesis is desirable for development of effective prophylactic treatment. This article aims to describe the current state of knowledge regarding these important complications. |
| first_indexed | 2024-12-11T11:01:33Z |
| format | Article |
| id | doaj.art-4da6384e6db34675b7914947d5bedeb9 |
| institution | Directory Open Access Journal |
| issn | 1749-7221 1749-7221 |
| language | English |
| last_indexed | 2024-12-11T11:01:33Z |
| publishDate | 2019-01-01 |
| publisher | Georg Thieme Verlag KG |
| record_format | Article |
| series | Journal of Brachial Plexus and Peripheral Nerve Injury |
| spelling | doaj.art-4da6384e6db34675b7914947d5bedeb92022-12-22T01:09:52ZengGeorg Thieme Verlag KGJournal of Brachial Plexus and Peripheral Nerve Injury1749-72211749-72212019-01-011401e24e3410.1055/s-0039-1692420The Pathogenesis of Glenohumeral Deformity and Contracture Formation in Obstetric Brachial Plexus Palsy—A ReviewPontus N. Olofsson0Alice Chu1Aleksandra M. McGrath2Department of Hand and Plastic Surgery, Norrland's University Hospital, Umeå, SwedenDepartment of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, New York, United StatesDepartment of Hand and Plastic Surgery, Norrland's University Hospital, Umeå, SwedenContractures of the shoulder joint and glenohumeral joint dysplasia are well known complications to obstetrical brachial plexus palsy. Despite extensive description of these sequelae, the exact pathogenesis remains unknown. The prevailing theory to explain the contractures and glenohumeral joint dysplasia states that upper trunk injury leads to nonuniform muscle recovery and thus imbalance between internal and external rotators of the shoulder. More recently, another explanation has been proposed, hypothesizing that denervation leads to reduced growth of developing muscles and that reinnervation might suppress contracture formation. An understanding of the pathogenesis is desirable for development of effective prophylactic treatment. This article aims to describe the current state of knowledge regarding these important complications.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1692420obstetric brachial plexus palsybrachial plexusshoulder contractureglenohumeral joint dysplasiainternal rotation contracture |
| spellingShingle | Pontus N. Olofsson Alice Chu Aleksandra M. McGrath The Pathogenesis of Glenohumeral Deformity and Contracture Formation in Obstetric Brachial Plexus Palsy—A Review Journal of Brachial Plexus and Peripheral Nerve Injury obstetric brachial plexus palsy brachial plexus shoulder contracture glenohumeral joint dysplasia internal rotation contracture |
| title | The Pathogenesis of Glenohumeral Deformity and Contracture Formation in Obstetric Brachial Plexus Palsy—A Review |
| title_full | The Pathogenesis of Glenohumeral Deformity and Contracture Formation in Obstetric Brachial Plexus Palsy—A Review |
| title_fullStr | The Pathogenesis of Glenohumeral Deformity and Contracture Formation in Obstetric Brachial Plexus Palsy—A Review |
| title_full_unstemmed | The Pathogenesis of Glenohumeral Deformity and Contracture Formation in Obstetric Brachial Plexus Palsy—A Review |
| title_short | The Pathogenesis of Glenohumeral Deformity and Contracture Formation in Obstetric Brachial Plexus Palsy—A Review |
| title_sort | pathogenesis of glenohumeral deformity and contracture formation in obstetric brachial plexus palsy a review |
| topic | obstetric brachial plexus palsy brachial plexus shoulder contracture glenohumeral joint dysplasia internal rotation contracture |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1692420 |
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