Secondary shoulder surgeries for obstetric brachial plexopathy patients

Name: Secondary shoulder surgeries for obstetric brachial plexopathy patients
Uploaded: 2023-09-25T11:05:24+00:00
Duration: 32 min
Description: The initial approach to addressing obstetric brachial plexopathy (OBP) involves establishing an accurate diagnosis. This process entails a thorough evaluation, including a detailed history review and comprehensive clinical examination

The initial approach to addressing obstetric brachial plexopathy (OBP) involves establishing an accurate diagnosis. This process entails a thorough evaluation, including a detailed history review and comprehensive clinical examination. Special attention is given to identifying any associated injuries, such as clavicle or humerus fractures. It is crucial to counsel parents during this phase, emphasizing the importance of clear and open communication.
Secondary surgical interventions are performed either on untreated older children or as a follow-up to primary nerve reconstruction. Typically, shoulder surgery is undertaken to address issues like internal rotation contracture and limited abduction. These problems often result from the co-contraction of abductor and adductor muscles, as well as internal and external rotators. It's important to note that OBP cases may face challenges due to relatively weaker donor muscles, which are frequently reinnervated. Consequently, achieving full functionality may not always be possible.
For a more comprehensive understanding of this topic, we invite you to participate in this webinar.

Speakers

Idirs Gharbaoui, MD
Hari Venkatramani, MD