Arthroscopic Release Of Shoulder Internal Rotation Contracture In Brachial Plexus Palsy

Not yet recruiting

• Conditions: Arthroscopy

• Registration Number: NCT05995795
• Lead Sponsor: Assiut University

Brief Summary

The purpose of this study is to evaluate the efficacy periarticular capsuloligamentous arthroscopic release of shoulder internal rotation contracture in brachial plexus palsy without any further intervention as tendon transfer.

Detailed Description

Obstetrical brachial plexus paralysis (OBPP) refers to complete or partial injury of the brachial plexus produced at the time of birth. OBPP involves most commonly the upper cervical roots (C5, C6) resulting in muscle imbalance between internal and external rotators of the shoulder . Although the majority of the patients (80-90%) recover spontaneously, some have a remaining imbalance causing severe functional impairment . In addition to diminished function, prolonged muscle contractures result in bony deformities in both the glenoid and proximal humerus. Internal rotation contractures due to external rotational weakness are the most common deformity in OBPP. Contracture release, tendon transfers, and rotational osteotomies are surgical methods used, depending on the level of deformity and the patient's age. To achieve functional external rotation of the arm, contracted structures should be released first. Currently, there is a lack of consensus on which procedures over the best outcome for mobility and function, and what are the precise indications for each type of surgery. There is also a large variation of practice between centers

Study Timeline

• Study First Submitted: 2023-05-10
• Status Verified: 2023-08
• Study First Submitted QC: 2023-08-13
• Last Update Submitted: 2023-08-13
• Study First Posted: 2023-08-16
• Last Update Posted: 2023-08-16
• Study Start: 2023-09-01
• Primary Completion: 2024-09-01
• Study Completion: 2025-09-01

Recruitment & Eligibility

• Status: NOT_YET_RECRUITING
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• children from 1 year to 15years of age.
• all genders
• patients with brachial plexus injury operated or not with internal rotation contracture
• patient with traumatic brachial plexus injury have residual internal rotation contracture

Exclusion Criteria

• History of septic shoulder
• Flail anaethetic limb
• glenohumeral posterior sublaxation or dislocation in CT

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Number of participants with failure of initial intervention	1 year	change of improvement of passive and active external rotation of operated shoulder using mallet score