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The triangle tilt procedure for treatment of secondary shoulder deformities in obstetric brachial plexus injury
Faculty
Medicine
Year:
2018
Type of Publication:
ZU Hosted
Pages:
Authors:
Ahmed Mohamed Abdelwahab Elsayed Elemem
Staff Zu Site
Abstract In Staff Site
Journal:
International Journal of Orthopaedics Sciences www.orthopaper.com
Volume:
Keywords :
, triangle tilt procedure , treatment , secondary shoulder deformities
Abstract:
Abstract The purpose of this study was to evaluate the shoulder functional and radiographic outcomes of the triangle tilt surgery for treatment of shoulder deformities secondary to obstetric brachial plexus injury (OBPI). Patients and Methods: A prospective study was executed at our institution, between Dec. 2013 and Jan. 2017, on the triangle tilt procedure for treatment of 22 OBPI patients (who were available for final follow-up), with persistent medial rotation contracture, SHEAR scapular deformity and glenohumeral joint instability. Their mean age at the time of the surgery was 6.1 ± 2.2 years (range: 4 – 12 years). We excluded cases having previous tendon transfers or bony operation. Results: The mean follow-up period was 17 ± 2.2 months (range: 12 - 24 months). Clinicaly, significant improvements were noted in the mean overall Mallet score (from 11.3±1.6 to 16.9±1.8 points), also, in (external rotation, hand-to-mouth, hand-to-neck, and hand-to-spine) functions and in the posture of the arm at rest, but with no considerable improvement in global abduction. Radiographically, significant improvements were demonstrated in: posterior subluxation (from a mean of 12±7.2% to 30±3.5%), glenoid version (from a mean of −30±5˚ to −17.5±6˚) and scapular elevation (from a mean of 7.1±2 % to 2.8±0.2 %). No significant postoperative complications were noted. Conclusions: The triangle tilt procedure is an effective procedure in treating OBPI patients with secondary shoulder deformities; achieving encouraging functional and anatomical results. Keywords: Brachial plexus, SHEAR, medial rotation contracture (MRC), acromioclavicular triangle (ACT)
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "Management of Blount s disease by external fixator", Zagazig University, 2015
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "V-Shaped Corrective Ulnar Osteotomy in Neglected Monteggia Fracture Dislocation in Children", OMICS, 2017
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Ahmed Mohamed Abdelwahab Elsayed Elemem, "Treatment of severe early-onset Blount’s disease by simultaneous medial hemiplateau elevation and metaphyseal osteotomy using the Ilizarov fixator", www.orthopaper.com, 2018
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Department Related Publications
Mohamed Anwar Abdel Haleem, "التهاب العصبى للعصب ما فوق عظمة اللوح نتيجة لاختناق العصب من مجراة ", لايوجد, 1900
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Mohamed Anwar Abdel Haleem, "التصوير المغناطيسي من رسم مفصل الركبة في حالات اصابة الغضروف الهلالي ", لايوجد, 1900
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Abdelsalam Eid Abdelsalam, "Dorsal closing wedge osteotomy for the treatment of Freiberg's infarction. The short term results of 11 patients.", Faculty of Medicine, Zagazig University, Egypt, 2005
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Abdelsalam Eid Abdelsalam, "A peculiar periprosthetic humeral fracture managed in a simple but effective way", Medknow publications, WKH, 2012
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Ahmed Altonsy Abdulsamie, "Anterior Cruciat ligament Reconstruction Using Hamstring Tendons With Femoral Cross-Pin And tibial Screw/Sheath Fixation", The Egyptian Orthopedic Journal –, 2009
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