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In this study, the severity of glenohumeral dysplasia and shoulder function and strength in two groups of matched patients with a C5-6 lesion at a mean age of seven years (2.7 to 13.3) were investigated. One group (23 patients) underwent nerve reconstruction and secondary operations, and the other (52 patients) underwent only secondary operations for similar initial clinical presentations. In the patients with nerve reconstruction shoulder function did not improve and they developed more severe shoulder deformities (posterior subluxation, glenoid version and scapular elevation) and required a mean of 2.4 times as many operations as patients without nerve reconstruction. <\/jats:p><jats:p> This study suggests that less invasive management, addressing the muscle and bone complications, is a more effective approach. Nerve reconstruction should be reserved for those less common cases where the C5 and C6 nerve roots will not recover. <\/jats:p>","DOI":"10.1302\/0301-620x.91b5.21878","type":"journal-article","created":{"date-parts":[[2009,4,30]],"date-time":"2009-04-30T22:16:17Z","timestamp":1241129777000},"page":"649-654","source":"Crossref","is-referenced-by-count":10,"title":["Nerve reconstruction in patients with obstetric brachial plexus injury results in worsening of glenohumeral deformity"],"prefix":"10.1302","volume":"91-B","author":[{"given":"R. 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