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Chapter 12 - Orthopaedic Shoulder Disorders

from Section 2 - Regional Paediatric Orthopaedics

Published online by Cambridge University Press:  30 January 2024

By
Om Lahoti  and
Tony Antonios
Edited by
Sattar Alshryda ,
Stan Jones  and
Paul A. Banaszkiewicz
Sattar Alshryda
Affiliation:
Al Jalila Children’s Specialty Hospital, Dubai Academic Health Corporation, Dubai UAE
Stan Jones
Affiliation:
Al Ahli Hospital, Qatar
Paul A. Banaszkiewicz
Affiliation:
Queen Elizabeth Hospital, Gateshead
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Summary

The incidence of obstetric brachial plexus injury (OBPI) is approximately 1 per 1 000 live births. Without intervention, around 25% of patients are left with permanent disability [1]. The shoulder is the most commonly affected joint and, owing to the subsequent imbalance of musculature, the abnormal deforming forces cause dysplasia of the glenohumeral joint [2]. In the growing child, this presents with a changing pattern of pathology, which requires a multidisciplinary approach and a broad range of treatment modalities to optimize function.

Type
Chapter
Information
Postgraduate Paediatric Orthopaedics
The Candidate's Guide to the FRCS(Tr&Orth) Examination
 , pp. 210 - 221
Publisher: Cambridge University Press
Print publication year: 2024

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References

Annika, J, Paul, U, Anna-Lena, L. Obstetric brachial plexus palsy – a prospective, population-based study of incidence, recovery and long-term residual impairment at 10 to 12 years of age. Eur J Paediatr Neurol. 2019;23(1): 87–93.Google Scholar
Olofsson, PN, Chu, A, McGrath, AM. The pathogenesis of glenohumeral deformity and contracture formation in obstetric brachial plexus palsy: a review. J Brachial Plex Peripher Nerve Inj. 2019;14(1):e24–34.Google Scholar
Gilbert, A, Tassin, JL. [Surgical repair of the brachial plexus in obstetric paralysis]. Chirurgie. 1984;110(1):70–5.Google ScholarPubMed
Klyce, W, et al. Scapular winging in the pediatric patient. JBJS Rev. 2018;6(6):e8.Google Scholar

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