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Abstract
A series of 13 arthrodeses of the shoulder in adults with brachial plexus injuries
have been reviewed.
Using internal fixation and external splintage we aimed at a final position of 30
° abduction, 30 ° flexion and 20 ° of internal rotation.
Patients were followed up for between 24 and 60 months. In only one was bony union
not achieved, although the resulting fibrous union was asymptomatic. All patients
had additional procedures including plexus exploration in six, Steindler procedure
in two, triceps to biceps transfer in two, latissimus dorsi transfer in two, and above-elbow
amputation in three.
All patients stated that shoulder fusion had improved the function of their limb.
Minimum range of movement was 50 ° abduction and 40 ° flexion. Two patients continued
to complain of pain despite solid fusions.
Compression arthrodesis of the shoulder is an effective method of achieving fusion
and reliably improves the function in adults with brachial plexus injury.
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References
- End results of stabilization of the paralytic shoulder.J. Bone Joint Surg. 1942; 24: 699
- Arthrodesis of the shoulder for degenerative conditions.J. Bone Joint Surg. 1972; 54A: 1759
- A new method of arthrodesis of the shoulder joint, incorporating the control of the scapula.J. Bone Joint Surg. 1933; 15: 969
- Compression arthrodesis of the shoulder.J. Bone Joint Surg. 1964; 46B: 614
- Glenohumeral arthrodesis. Operative and long-term functional results.J. Bone Joint Surg. 1979; 61A: 668
- A new operation for arthrodesis of the shoulder.J. Bone Joint Surg. 1931; 13: 287
- Complete brachial plexus lesions. A ten-year follow-up of twenty cases.J. Bone Joint Surg. 1977; 59B: 417
- Shoulder arthrodesis for the treatment of brachial plexis palsy.Clin Orthop. 1985; 198: 250
- Reevaluation of the position of the arm in arthrodesis of the shoulder in the adult.J. Bone Joint Surg. 1974; 56A: 913
- Operations on the upper extremity; Problems in kinetics: End results.J. Bone Joint Surg. 1927; 9: 404
- Brachial plexus injuries: Treatment of the flail arm.J. Bone Joint Surg. 1961; 43B: 493
Article info
Publication history
Accepted:
November 16,
1990
Identification
Copyright
© 1991 Published by Elsevier Inc.
