%0 Journal Article
%T Transposici¨®n de los m¨²sculos dorsal ancho y redondo mayor para el tratamiento de la par¨¢lisis braquial obst¨¦trica
%A Pe£¿a Marrero
%A Liv¨¢n
%A L¨®pez D¨ªaz
%A Haysell
%A Rem¨®n D¨¢vila
%A Xiomara
%A Albisus Santana
%A Eduardo
%A Ca£¿izares Betancourt
%A Dashiell
%A Pereda Cardoso
%A Osvaldo
%J Revista Cubana de Ortopedia y Traumatolog£¿-a
%D 2010
%I Editorial Ciencias M¨¦dicas
%X introduction: the obstetric brachial paralysis causes a muscular lack of balance limiting the abduction and the external rotation as well as a significant functional ability. the main objective of present paper was to assess the results obtained with the above mentioned transposition to rotator cuff in patients presenting this affection. methods: a descriptive retrospective study was conducted in 26 patients with obstetric brachial paralysis, treated with such transposition in the general service of "fran pa¨ªs" international orthopedic scientific complex from january, 2002 to january, 2009. results: mean age at transposition was of 5,8 years (5-8 years). axillary approach in 11 cases and posterior brachial in 15 were used. in 11 patients it was necessary a previous or simultaneous release surgery. mean active mobility in abduction was of 77o (30o - 105o) during postoperative period and increased to 132o (95 -180o) after surgery. active mobility in preoperative period and increased to 132o (95o - 180o) after surgery. active mobility in external rotation was of 7o (0o - 20o) and increased to 61o (35o -90o). active mobility in internal mobility was of 83o (75o - 90o) and decreased to 57o (25o - 70o). functional assessment according to the modified mallet's score on average was of 13 points (8-17) and improved to 20 points (16-23). there were not complications with applied treatment. conclusions: above mentioned transposition leads to an increase in active mobility of abduction and external rotation of shoulder. approximately in the half of patients it is required a previous and simultaneous intervention to release the muscular contractures. treatment achieved an improvement of general member function in all patients.
%K brachial plexus
%K obstetric paralysis
%K rotator cuff.
%U http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S0864-215X2010000100001&lng=en&nrm=iso&tlng=en