Successful Outcome of Triangle Tilt as Revision Surgery in a Pediatric Obstetric Brachial Plexus Patient with Multiple Previous Operations
Introduction. Obstetric brachial plexus injury (OBPI) occurs during the process of labor and childbirth. OBPI has been reported to be associated with shoulder dystocia, macrosomia, and breech delivery. Its occurrence in uncomplicated delivery is possible as well. Case Presentation. The patient in th...
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| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2014/715389 |
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| author | Rahul K. Nath Vishnu Halthore Chandra Somasundaram |
| author_facet | Rahul K. Nath Vishnu Halthore Chandra Somasundaram |
| author_sort | Rahul K. Nath |
| collection | DOAJ |
| description | Introduction. Obstetric brachial plexus injury (OBPI) occurs during the process of labor and childbirth. OBPI has been reported to be associated with shoulder dystocia, macrosomia, and breech delivery. Its occurrence in uncomplicated delivery is possible as well. Case Presentation. The patient in the present report is a 6.5-year-old girl, who suffered a severe brachial plexus injury at birth and had many reconstructive surgical procedures at an outside brachial plexus center before presenting to us. Discussion. The traditional surgical treatments by other surgical groups were unsuccessful and therefore the patient came to our clinic for further treatment. She had triangle tilt surgery with us, as a salvage procedure. Conclusion. The OBPI patient in this study clearly showed noticeable clinical and functional improvements after triangle tilt surgical management. The posture of the arm at rest was greatly improved to a more normal position, and hand to mouth movement was improved as well. Triangle tilt surgery should be conducted as a first choice treatment for medial rotation contracture of the shoulder in OBPI patients. |
| format | Article |
| id | doaj-art-fb5c0a6c3624425ba979abf5f291b351 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-fb5c0a6c3624425ba979abf5f291b3512025-02-03T01:08:49ZengWileyCase Reports in Surgery2090-69002090-69192014-01-01201410.1155/2014/715389715389Successful Outcome of Triangle Tilt as Revision Surgery in a Pediatric Obstetric Brachial Plexus Patient with Multiple Previous OperationsRahul K. Nath0Vishnu Halthore1Chandra Somasundaram2Texas Nerve and Paralysis Institute, 6400 Fannin Street, Houston, TX 77030, USATexas Nerve and Paralysis Institute, 6400 Fannin Street, Houston, TX 77030, USATexas Nerve and Paralysis Institute, 6400 Fannin Street, Houston, TX 77030, USAIntroduction. Obstetric brachial plexus injury (OBPI) occurs during the process of labor and childbirth. OBPI has been reported to be associated with shoulder dystocia, macrosomia, and breech delivery. Its occurrence in uncomplicated delivery is possible as well. Case Presentation. The patient in the present report is a 6.5-year-old girl, who suffered a severe brachial plexus injury at birth and had many reconstructive surgical procedures at an outside brachial plexus center before presenting to us. Discussion. The traditional surgical treatments by other surgical groups were unsuccessful and therefore the patient came to our clinic for further treatment. She had triangle tilt surgery with us, as a salvage procedure. Conclusion. The OBPI patient in this study clearly showed noticeable clinical and functional improvements after triangle tilt surgical management. The posture of the arm at rest was greatly improved to a more normal position, and hand to mouth movement was improved as well. Triangle tilt surgery should be conducted as a first choice treatment for medial rotation contracture of the shoulder in OBPI patients.http://dx.doi.org/10.1155/2014/715389 |
| spellingShingle | Rahul K. Nath Vishnu Halthore Chandra Somasundaram Successful Outcome of Triangle Tilt as Revision Surgery in a Pediatric Obstetric Brachial Plexus Patient with Multiple Previous Operations Case Reports in Surgery |
| title | Successful Outcome of Triangle Tilt as Revision Surgery in a Pediatric Obstetric Brachial Plexus Patient with Multiple Previous Operations |
| title_full | Successful Outcome of Triangle Tilt as Revision Surgery in a Pediatric Obstetric Brachial Plexus Patient with Multiple Previous Operations |
| title_fullStr | Successful Outcome of Triangle Tilt as Revision Surgery in a Pediatric Obstetric Brachial Plexus Patient with Multiple Previous Operations |
| title_full_unstemmed | Successful Outcome of Triangle Tilt as Revision Surgery in a Pediatric Obstetric Brachial Plexus Patient with Multiple Previous Operations |
| title_short | Successful Outcome of Triangle Tilt as Revision Surgery in a Pediatric Obstetric Brachial Plexus Patient with Multiple Previous Operations |
| title_sort | successful outcome of triangle tilt as revision surgery in a pediatric obstetric brachial plexus patient with multiple previous operations |
| url | http://dx.doi.org/10.1155/2014/715389 |
| work_keys_str_mv | AT rahulknath successfuloutcomeoftriangletiltasrevisionsurgeryinapediatricobstetricbrachialplexuspatientwithmultiplepreviousoperations AT vishnuhalthore successfuloutcomeoftriangletiltasrevisionsurgeryinapediatricobstetricbrachialplexuspatientwithmultiplepreviousoperations AT chandrasomasundaram successfuloutcomeoftriangletiltasrevisionsurgeryinapediatricobstetricbrachialplexuspatientwithmultiplepreviousoperations |