Rate of Recurrence of Internal Rotation Contracture after Latissimus Dorsi Transfer and Subscapularis Sliding in Obstetric Brachial Plexus Palsy

HISHAM ABDEL GHANI, M.D., MOHAMED A. AMIN, M.Sc.;; MOHAMED ABDEL WAHED KOTB, M.D., MOSTAFA MAHMOUD, M.D.;

doi:10.21608/mjcu.2021.168021

Rate of Recurrence of Internal Rotation Contracture after Latissimus Dorsi Transfer and Subscapularis Sliding in Obstetric Brachial Plexus Palsy

Authors

The Department of Orthopedic Surgery, Faculty of Medicine, Cairo University

10.21608/mjcu.2021.168021

Abstract

Abstract Background: Internal rotation contracture is the most common complication of obstetric brachial plexus palsy, tendon transfer is used to treat limited shoulder abduction and external rotation. Aim of Study: In our study we observe the incidence of recurrency of internal rotation contracture after lattissmus dorsi transfer and Subscapularis sliding. Patients and Methods: We conducted a randomized trail study over 20 patients with internal rotation contracture due to obstetric brachial plexus palsy. From 2015 to 2017 in Abo El Resh Hospital. We done subscapularis sliding combined with latissimus dorsi transfer for. The mean age at the time of operation was 2 years. We used modified gilbert score to asset shoulder function pre and postoperative. Results: All patient after surgery shows marked improve-ment of shoulder abduction and external rotation. We had recurrence of internal rotation contracture in 4 patients. Conclusion: After subscapularis sliding with latissimus dorsi transfer it is preferable to keep in close follow-up of the patient and continuous physiotherapy to prevent recurrence of internal rotation contracture.

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