{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,11,19]],"date-time":"2024-11-19T15:51:28Z","timestamp":1732031488243},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2004,8,3]],"date-time":"2004-08-03T00:00:00Z","timestamp":1091491200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Musculoskelet Disord"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                        <jats:title>Background<\/jats:title>\n                        <jats:p>Obstetric palsy is the injury of the brachial plexus during delivery. Although many infants with plexopathy recover with minor or no residual functional deficits, some children don't regain sufficient limb function because of functional limitations, bony deformities and joint contractures. Shoulder is the most frequently affected joint with internal rotation contracture causing limitation of abduction, external rotation. The treatment comprises muscle release procedures such as posterior subscapularis sliding or anterior subscapularis tendon lengtening and muscle transfers to restore the missing external rotation and abduction function.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Methods<\/jats:title>\n                        <jats:p>We evaluated whether the preoperative abduction degree affects functional outcome. Between 1998 and 2002, 46 children were operated on to restore shoulder abduction and external rotation. The average age at surgery was 7.6 years and average follow up was 40.8 months. We compared the postoperative results of the patients who had preoperative abduction less than 90\u00b0 (Group I: n = 37) with the patients who had preoperative abduction greater than 90\u00b0 (Group II: n = 9), in terms of abduction and external rotation function with angle measurements and Mallet classification. We inquired whether patients in Group I needed another muscle transfer along with latissimus dorsi and teres major transfers.<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Results<\/jats:title>\n                        <jats:p>In Group I the average abduction improved from 62.5\u00b0 to 131.4\u00b0 (a 68.9\u00b0 \u00b1 22.9\u00b0gain) and the average external rotation improved from 21.4\u00b0 to 82.6\u00b0 (a 61.1\u00b0 \u00b1 23\u00b0gain). In Group II the average abduction improved from 99.4\u00b0to 140\u00b0(a40.5\u00b0 \u00b1 16\u00b0gain) and the average external rotation improved from 33.2\u00b0to 82.7\u00b0 (a 49.5\u00b0 \u00b1 23.9\u00b0 gain). Although there was a significant difference between Group I and II for preoperative abduction (p = 0.000) and abduction gain in degrees (p = 0.001), the difference between postoperative values of both groups was not significant (p = 0.268). There was also no significant difference between the two groups in the preoperative external rotation, the external rotation gain and the postoperative external rotation (p = 0.163, p = 0.181 and p = 0.803, respectively).<\/jats:p>\n                     <\/jats:sec><jats:sec>\n                        <jats:title>Conclusions<\/jats:title>\n                        <jats:p>Obstetric palsy patients with shoulder sequela who had a preoperative abduction less than 90\u00b0hadas good functional results using latissimus dorsi, teres major muscle transfer and subscapularis muscle release as the patients who hada preoperative abduction greater than 90\u00b0.<\/jats:p>\n                     <\/jats:sec>","DOI":"10.1186\/1471-2474-5-25","type":"journal-article","created":{"date-parts":[[2004,8,6]],"date-time":"2004-08-06T06:22:48Z","timestamp":1091773368000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Does preoperative abduction value affect functional outcome of combined muscle transfer and release procedures in obstetrical palsy patients with shoulder involvement?"],"prefix":"10.1186","volume":"5","author":[{"given":"Atakan","family":"Aydin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Turker","family":"Ozkan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Defne","family":"Onel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2004,8,3]]},"reference":[{"key":"89_CR1","doi-asserted-by":"publisher","first-page":"144","DOI":"10.1097\/00003086-199907000-00019","volume":"364","author":"PM Waters","year":"1999","unstructured":"Waters PM, Allan E, Peljovich E: Shoulder reconstruction in patients with chronic brachial plexus birth palsy. Clin Orthop. 1999, 364: 144-152. 10.1097\/00003086-199907000-00019.","journal-title":"Clin Orthop"},{"key":"89_CR2","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1016\/S0030-5898(20)31399-7","volume":"12","author":"EA Zancolli","year":"1981","unstructured":"Zancolli EA: Classification and management of the shoulder in birth palsy. Orthop Clin North Am. 1981, 12: 433-457.","journal-title":"Orthop Clin North Am"},{"key":"89_CR3","first-page":"249","volume-title":"In: (Ed) Brachial plexus injuries","author":"R Birch","year":"2001","unstructured":"Birch R: Medial rotation contracture, posterior dislocation of the shoulder. In: (Ed) Brachial plexus injuries. Edited by: Gilbert A. 2001, Hampshire (UK), Taylor & Francis, 249-259."},{"key":"89_CR4","doi-asserted-by":"publisher","first-page":"483","DOI":"10.1016\/S0266-7681(02)00399-6","volume":"28","author":"MM Al-Qattan","year":"2003","unstructured":"Al-Qattan MM: Classification of secondary shoulder deformities in obstetric brachial plexus palsy. J Hand Surg [Br]. 2003, 28: 483-6. 10.1016\/S0266-7681(02)00399-6.","journal-title":"J Hand Surg [Br]"},{"key":"89_CR5","doi-asserted-by":"publisher","first-page":"686","DOI":"10.1097\/00006534-199803000-00015","volume":"101","author":"DC Chuang","year":"1998","unstructured":"Chuang DC, Ma HS, Wei FC: A new strategy of muscle transposition for treatment of shoulder deformity caused by obstetric brachial plexus palsy. Plast Reconstr Surg. 1998, 101: 686-94.","journal-title":"Plast Reconstr Surg"},{"key":"89_CR6","doi-asserted-by":"crossref","first-page":"607","DOI":"10.1016\/S0749-0712(21)00269-9","volume":"11","author":"AE Price","year":"1995","unstructured":"Price AE, Grossman AI: A management approach for secondary shoulder and forearm deformities following obstetrical brachial plexus injury. Hand Clin. 1995, 11: 607-617.","journal-title":"Hand Clin"},{"key":"89_CR7","doi-asserted-by":"crossref","first-page":"597","DOI":"10.1016\/S0749-0712(21)00268-7","volume":"11","author":"DV Egloff","year":"1995","unstructured":"Egloff DV, Raffoul W, Bonnard C, Stalder J: Palliative surgical procedures to restore shoulder function in obstetric brachial palsy. Hand Clin. 1995, 11: 597-606.","journal-title":"Hand Clin"},{"key":"89_CR8","doi-asserted-by":"crossref","first-page":"691","DOI":"10.2106\/00004623-197860050-00019","volume":"60(A)","author":"M Hoffer","year":"1978","unstructured":"Hoffer M, Wickenden R, Roper B: Brachial plexus birth palsies. Results of tendon transfers to the rotator cuff. J Bone Joint Surg. 1978, 60(A): 691-695.","journal-title":"J Bone Joint Surg"},{"key":"89_CR9","first-page":"225","volume-title":"In: Brachial plexus injuries","author":"PL Raimondi","year":"2001","unstructured":"Raimondi PL, Muse A, Saporiti E: Palliative surgery: shoulder paralysis. In: Brachial plexus injuries. Edited by: Gilbert A. 2001, London, Martin Dunitz Ltd, 225-238."},{"key":"89_CR10","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1055\/s-2002-30183","volume":"18","author":"L Chen","year":"2002","unstructured":"Chen L, Gu Y, Hu S: Applying transfer of trapezius and\/or latissimus dorsi with teres major for recontruction of abduction and external rotation of the shoulder in obstetrical brachial plexus palsy. J Recons Microsurg. 2002, 18: 275-80. 10.1055\/s-2002-30183.","journal-title":"J Recons Microsurg"},{"key":"89_CR11","doi-asserted-by":"publisher","first-page":"124","DOI":"10.1016\/S1058-2746(05)80066-7","volume":"4","author":"GJ Phipps","year":"1995","unstructured":"Phipps GJ, Hoffer MM: Latissimus dorsi and teres major transfer to rotator cuff for Erb's palsy. 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J Bone Joint Surg [Br]. 1992, 74: 897-901.","journal-title":"J Bone Joint Surg [Br]"},{"key":"89_CR14","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1097\/00003086-199103000-00005","volume":"264","author":"A Gilbert","year":"1991","unstructured":"Gilbert A, Brockman R, Carlioz H: Surgical treatment of brachial plexus birth palsy. Clin Orthop. 1991, 264: 39-47.","journal-title":"Clin Orthop"},{"key":"89_CR15","first-page":"576","volume-title":"In: The hand","author":"A Gilbert","year":"1993","unstructured":"Gilbert A: Obstetric brachial plexus palsy. In: The hand. Edited by: Tubiana R. 1993, Philadelphia, WB Saunders, 576-601."},{"key":"89_CR16","doi-asserted-by":"publisher","first-page":"487","DOI":"10.1016\/S0266-7681(02)00393-5","volume":"28","author":"MM Al-Qattan","year":"2003","unstructured":"Al-Qattan MM: Latissimus dorsi transfer for external rotation weakness of the shoulder in obstetric brachial plexus palsy. J Hand Surg [Br]. 2003, 28: 487-490. 10.1016\/S0266-7681(02)00393-5.","journal-title":"J Hand Surg [Br]"}],"container-title":["BMC Musculoskeletal Disorders"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2474-5-25.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/1471-2474-5-25\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2474-5-25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1471-2474-5-25.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,7]],"date-time":"2024-10-07T12:41:25Z","timestamp":1728304885000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcmusculoskeletdisord.biomedcentral.com\/articles\/10.1186\/1471-2474-5-25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2004,8,3]]},"references-count":16,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2004,12]]}},"alternative-id":["89"],"URL":"https:\/\/doi.org\/10.1186\/1471-2474-5-25","relation":{},"ISSN":["1471-2474"],"issn-type":[{"type":"electronic","value":"1471-2474"}],"subject":[],"published":{"date-parts":[[2004,8,3]]},"assertion":[{"value":"19 January 2004","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 August 2004","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 August 2004","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"25"}}