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In patients who sustain a brachial plexus birth injury (BPBI), incomplete recovery of shoulder strength and range of motion is the most common indication for secondary surgery. Glenohumeral dysplasia and contracture are treated using a combination of procedures to reduce the humeral head to the glenoid, lessen the effect of internal rotation contracture, and augment external rotation strength with tendon transfer. Ultrasound is increasingly relied upon in the diagnosis of glenohumeral dysplasia.

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Secondary Glenohumeral Procedures in the Child with Brachial Plexus Birth Injury

  • 章节

  • 发表日期：

    2025年

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  • Benjamin K. Gundlach,
  • Eugene Park,
  • Dan A. Zlotolow,
  • Scott H. Kozin

摘要

In patients who sustain a brachial plexus birth injury (BPBI), incomplete recovery of shoulder strength and range of motion is the most common indication for secondary surgery. Glenohumeral dysplasia and contracture are treated using a combination of procedures to reduce the humeral head to the glenoid, lessen the effect of internal rotation contracture, and augment external rotation strength with tendon transfer. Ultrasound is increasingly relied upon in the diagnosis of glenohumeral dysplasia.