Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports
Untreated adult obstetric brachial plexus injury (OBPI) patients, in general, use compensatory strategies to achieve their lost upper extremity functions; they cause some adverse effects. Our present study is a case series of 3 female adult OBPI patients, aged 46, 23 and 21 years old. They all had a...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2019-09-01
|
| Series: | Clinics and Practice |
| Subjects: | |
| Online Access: | https://www.clinicsandpractice.org/index.php/cp/article/view/1140 |
| _version_ | 1811308212833484800 |
|---|---|
| author | Rahul K. Nath Divya Goel Chandra Somasundaram |
| author_facet | Rahul K. Nath Divya Goel Chandra Somasundaram |
| author_sort | Rahul K. Nath |
| collection | DOAJ |
| description | Untreated adult obstetric brachial plexus injury (OBPI) patients, in general, use compensatory strategies to achieve their lost upper extremity functions; they cause some adverse effects. Our present study is a case series of 3 female adult OBPI patients, aged 46, 23 and 21 years old. They all had a modified Quad surgical procedure. All patients were assessed preoperatively and postoperatively by evaluating video recordings of standardized upper extremity movements using the modified Mallet scale. The average postoperative follow-up was 4.3 months (1 to 9 months). Total Mallet score significantly improved from 15 and 18 to 21 in two patients. Supination angle measured from active movement of these 3 patients improved from 40°, 0° and -60° to 80°, 40° and -40°, respectively. The modified Quad surgical procedure significantly improves active abduction and other shoulder functions not only in young pediatric and adolescent patients, as we have previously reported, but also in adult patients with muscle imbalance secondary to brachial plexus injury sustained at birth. |
| first_indexed | 2024-04-13T09:19:16Z |
| format | Article |
| id | doaj.art-afcf9c321b7d4e528b466e0ec4385c3c |
| institution | Directory Open Access Journal |
| issn | 2039-7275 2039-7283 |
| language | English |
| last_indexed | 2024-04-13T09:19:16Z |
| publishDate | 2019-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Clinics and Practice |
| spelling | doaj.art-afcf9c321b7d4e528b466e0ec4385c3c2022-12-22T02:52:40ZengMDPI AGClinics and Practice2039-72752039-72832019-09-019310.4081/cp.2019.1140Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reportsRahul K. Nath0Divya Goel1Chandra Somasundaram2Texas Nerve and Paralysis Institute, Houston, TXTexas Nerve and Paralysis Institute, Houston, TXTexas Nerve and Paralysis Institute, Houston, TXUntreated adult obstetric brachial plexus injury (OBPI) patients, in general, use compensatory strategies to achieve their lost upper extremity functions; they cause some adverse effects. Our present study is a case series of 3 female adult OBPI patients, aged 46, 23 and 21 years old. They all had a modified Quad surgical procedure. All patients were assessed preoperatively and postoperatively by evaluating video recordings of standardized upper extremity movements using the modified Mallet scale. The average postoperative follow-up was 4.3 months (1 to 9 months). Total Mallet score significantly improved from 15 and 18 to 21 in two patients. Supination angle measured from active movement of these 3 patients improved from 40°, 0° and -60° to 80°, 40° and -40°, respectively. The modified Quad surgical procedure significantly improves active abduction and other shoulder functions not only in young pediatric and adolescent patients, as we have previously reported, but also in adult patients with muscle imbalance secondary to brachial plexus injury sustained at birth.https://www.clinicsandpractice.org/index.php/cp/article/view/1140Brachial plexusObstetricAdultModified QuadShoulder functions |
| spellingShingle | Rahul K. Nath Divya Goel Chandra Somasundaram Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports Clinics and Practice Brachial plexus Obstetric Adult Modified Quad Shoulder functions |
| title | Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
| title_full | Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
| title_fullStr | Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
| title_full_unstemmed | Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
| title_short | Clinical and functional outcome of modified Quad surgery in adult obstetric brachial plexus injury patients: Case reports |
| title_sort | clinical and functional outcome of modified quad surgery in adult obstetric brachial plexus injury patients case reports |
| topic | Brachial plexus Obstetric Adult Modified Quad Shoulder functions |
| url | https://www.clinicsandpractice.org/index.php/cp/article/view/1140 |
| work_keys_str_mv | AT rahulknath clinicalandfunctionaloutcomeofmodifiedquadsurgeryinadultobstetricbrachialplexusinjurypatientscasereports AT divyagoel clinicalandfunctionaloutcomeofmodifiedquadsurgeryinadultobstetricbrachialplexusinjurypatientscasereports AT chandrasomasundaram clinicalandfunctionaloutcomeofmodifiedquadsurgeryinadultobstetricbrachialplexusinjurypatientscasereports |