Effectiveness and Safety of Early Intramuscular Botulinum Toxin Injections to Prevent Shoulder Deformity in Babies With Obstetrical Brachial Plexus Palsy
- Conditions
- Obstetrical Brachial Plexus Palsy
- Interventions
- Other: Sham
- Registration Number
- NCT03198702
- Lead Sponsor
- University Hospital, Brest
- Brief Summary
In children population with obstetrical brachial plexus palsy (OBPP), shoulder musculoskeletal deformity is the main cause of morbidity, with a loss of range of shoulder motion, pain and a reduction in social participation. Some uncontrolled studies shows that early injections of botulinum toxin (BTI) in the internal shoulder rotator muscles (which cause the deformity) are one of the most promising treatment for the prevention of bony deformity.
The main objective of this study will be the evaluation of the effectiveness of BTI in the internal shoulder rotator muscles at the age of 12 months in preventing an increase in posterior subluxation of the glenohumeral joint in babies with OBPP (evaluated at the ages of 11 months and 18 months), compared to the Sham group.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 62
- Male and female babies with unilateral OBPP
- Age between 10 and 11 months
- Presenting one of 2 risk factors for posterior subluxation of the humeral head (10° less passive external ROM of the affected shoulder compared with the contralateral shoulder and/or a score strictly less than 6 on the AMS for shoulder external rotation and abduction, elbow flexion or supination)
- Signature of the consent form by (the) parent(s) over the age of majority
- Bilateral OBPP
- Microsurgery or secondary muscle surgery planned between 12 and 18 months of age
- Contraindications to the use of botulinum toxin
- Contraindications to MRI
- MRI not possible in the Paediatric Day Hospital setting because of contraindications to the sedation protocol or due to organisational constraints
- Parents inapt to provide consent for the participation of their child
- Parents under the age of 18 years
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Toxin group Botulinum toxin type A injection The babies receive a botulinum toxin type A injection at the age of 12 months Sham group Sham The babies receive a simulated injection procedure at the age of 12 months
- Primary Outcome Measures
Name Time Method Change in the percentage posterior migration of the humeral head measured on axial MRI slices between 11 (before the BTI carried out at 12 months) and 18 months of age (6 months post BTI). At 18 month age
- Secondary Outcome Measures
Name Time Method compare the effectiveness of BTI with Sham procedure in the improvement of active and passive joint range of motion and upper limb function At 18 month age By measurement of passive range of motion, Active Movement Scale and Assistive Hand Assessment.
confirm good clinical tolerance of BTI treatment At 18 month age By measurement of the number of serious and non-serious adverse events
evaluate the effects of BTI on trophicity, fibrosis and fatty infiltration of the injected muscles as well as muscle balance of the OBPP shoulder At 18 month age Bu measurement of the degree of trophicity, fibrosis and fatty infiltration of the injected muscles (supraspinous, infraspinous, teres minor, subscapularis, teres major, pectoralis major, deltoid and latissimus dorsi)
determine if the treatment changes the frequency and type of surgical interventions in the long term every years on 2 years old to 10 years old the number and type of surgical interventions undergone by the children in each group will be recorded during routine medical follow-up (as in usual practice) until the child's 10th birthday following unblinding (9 years and 6 months after the BTI).
compare the effectiveness of BTI with Sham procedure in preventing an increase in glenoid retroversion and three-dimensional deformity At 18 month age With 2D glenoid changes measured on axial MRI and 3D glenoid version and migration of the humeral head measured on MRI
Trial Locations
- Locations (7)
CHU Rennes
🇫🇷Rennes, France
CHU Nîmes
🇫🇷Nîmes, France
ESEAN (Etablissement de Santé pour Enfants et Adolescents de la région Nantaise)
🇫🇷Nantes, France
CHRU Brest
🇫🇷Brest, France
Hôpital national de saint maurice
🇫🇷Saint-Maurice, France
CHU St Etienne
🇫🇷Saint Etienne, France
Institut Régionnal de Réadaptation Centre de Réadaptation pour enfant
🇫🇷Flavigny-sur-Moselle, France