{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:49:58Z","timestamp":1763466598702,"version":"3.45.0"},"reference-count":13,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","license":[{"start":{"date-parts":[[2020,2,6]],"date-time":"2020-02-06T00:00:00Z","timestamp":1580947200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2017,3,25]],"date-time":"2017-03-25T00:00:00Z","timestamp":1490400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nTo date, all the authors who have recommended external rotation osteotomy (ERO) in the late treatment of obstetrical brachial plexus palsy (OBPP), have neglected upper limb length discrepancy, which is an another sequelae of OBPP. In this paper, a new technique is reported for the late treatment of OBPP patients with upper limb length discrepancy, in which both humeral external rotation osteotomy (ERO) and lengthening are applied with an intramedullary elongation nail. With this technique, upper limb function is improved through re-orientation of the shoulder arc to a more functional range, and further improvements will be seen in the appearance of the upper limb with the elimination of length discrepancy. It is also advocated that there is a potentiating effect of the humeral lengthening on shoulder movements gained by ERO when the osteotomy is applied above the deltoid insertion, as this allows more lateralized placement of the deltoid insertion.\nER -\n\nKeywords\n\n\n\tObstetrical brachial plexus palsy\n\tHumeral lengthening\n\tElongation nail\n\tLengthening nail<\/jats:p>","DOI":"10.1016\/j.aott.2017.03.019","type":"journal-article","created":{"date-parts":[[2017,5,8]],"date-time":"2017-05-08T09:31:32Z","timestamp":1494235892000},"page":"75-80","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":6,"title":["Late treatment of obstetrical brachial plexus palsy by humeral rotational osteotomy and lengthening with an intramedullary elongation nail"],"prefix":"10.5152","volume":"52","author":[{"given":"Ahmet","family":"Emrah ACAN","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Onur","family":"GURSAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nihat","family":"Demirhan DEM\u0130RK\u0130RAN","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hasan","family":"HAV\u0130TC\u0130OGLU","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,6]]},"reference":[{"issue":"1","key":"10.1016\/j.aott.2017.03.019_bib1","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1054\/bjps.1997.0166","article-title":"Obstetrical brachial palsy","volume":"51","author":"Kay","year":"1998","journal-title":"Br J Plast Surg"},{"issue":"2","key":"10.1016\/j.aott.2017.03.019_bib2","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1111\/j.1469-8749.2004.tb00463.x","article-title":"Natural history of obstetric brachial plexus palsy: a systematic review","volume":"46","author":"Pondaag","year":"2004","journal-title":"Dev Med Child Neurol"},{"issue":"10","key":"10.1016\/j.aott.2017.03.019_bib3","doi-asserted-by":"crossref","first-page":"1477","DOI":"10.2106\/00004623-199810000-00009","article-title":"Late treatment of brachial plexus palsy secondary to birth injuries: rotational osteotomy of the proximal part of the humerus","volume":"80","author":"Kirkos","year":"1998","journal-title":"J\u00a0Bone Jt Surg Am"},{"issue":"5","key":"10.1016\/j.aott.2017.03.019_bib4","doi-asserted-by":"crossref","first-page":"668","DOI":"10.2106\/00004623-199805000-00007","article-title":"Glenohumeral deformity secondary to brachial plexus birth 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