FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE
Autor(a) principal: | |
---|---|
Data de Publicação: | 2019 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Acta Ortopédica Brasileira (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000600294 |
Resumo: | ABSTRACT Objective: To evaluate the functional outcome of patients with traumatic brachial plexus injury undergoing the Oberlin procedure. Methods: Eighteen patients were assessed, comprising 17 men (94.4%) and 1 woman (5.6%), mean age 29.5 years (range 17-46 years), with upper traumatic brachial plexus injury (C5-C6 and C5-C7). We assessed active range of motion of the elbow, elbow flexion muscle strength and hand-grip strength, and applied the DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire. Results: Four patients (22.2%) did not achieve effective elbow flexion strength (BMRC Grade 3). Mean active range of motion was 100.2° (±45.6°), and we observed a mean percentage of strength recovery relative to the contralateral limb of 35.5% (0-66.3%). Elbow flexion (p = 0.0001) and hand-grip (p = 0.0001) strength levels were lower on the affected side. Conclusion: The surgical technique described by Oberlin for brachial plexus injuries proved effective for restoring elbow flexion and produced no functional sequelae in the hand. Bicep strength outcomes were better when surgery was performed within 12 months of injury. Level of evidence II, retrospective study. |
id |
SBOT-1_ed0955a1b7389f414c1535061fc0ddb5 |
---|---|
oai_identifier_str |
oai:scielo:S1413-78522019000600294 |
network_acronym_str |
SBOT-1 |
network_name_str |
Acta Ortopédica Brasileira (Online) |
repository_id_str |
|
spelling |
FUNCTIONAL OUTCOME OF OBERLIN PROCEDUREBrachial PlexusNerve TransferMuscle ContractionABSTRACT Objective: To evaluate the functional outcome of patients with traumatic brachial plexus injury undergoing the Oberlin procedure. Methods: Eighteen patients were assessed, comprising 17 men (94.4%) and 1 woman (5.6%), mean age 29.5 years (range 17-46 years), with upper traumatic brachial plexus injury (C5-C6 and C5-C7). We assessed active range of motion of the elbow, elbow flexion muscle strength and hand-grip strength, and applied the DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire. Results: Four patients (22.2%) did not achieve effective elbow flexion strength (BMRC Grade 3). Mean active range of motion was 100.2° (±45.6°), and we observed a mean percentage of strength recovery relative to the contralateral limb of 35.5% (0-66.3%). Elbow flexion (p = 0.0001) and hand-grip (p = 0.0001) strength levels were lower on the affected side. Conclusion: The surgical technique described by Oberlin for brachial plexus injuries proved effective for restoring elbow flexion and produced no functional sequelae in the hand. Bicep strength outcomes were better when surgery was performed within 12 months of injury. Level of evidence II, retrospective study.ATHA EDITORA2019-11-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000600294Acta Ortopédica Brasileira v.27 n.6 2019reponame:Acta Ortopédica Brasileira (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1590/1413-785220192706224552info:eu-repo/semantics/openAccessAzevedo Filho,Fernando Antonio Silva deAbdouni,Yussef AliOgawa,GuilhermeSá,Cloud Kennedy Couto deCosta,Antonio Carlos daFucs,Patrícia Maria de Moraes Barroseng2019-10-29T00:00:00Zoai:scielo:S1413-78522019000600294Revistahttp://www.actaortopedica.com.br/https://old.scielo.br/oai/scielo-oai.php1atha@uol.com.br||actaortopedicabrasileira@uol.com.br1809-44061413-7852opendoar:2019-10-29T00:00Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE |
title |
FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE |
spellingShingle |
FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE Azevedo Filho,Fernando Antonio Silva de Brachial Plexus Nerve Transfer Muscle Contraction |
title_short |
FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE |
title_full |
FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE |
title_fullStr |
FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE |
title_full_unstemmed |
FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE |
title_sort |
FUNCTIONAL OUTCOME OF OBERLIN PROCEDURE |
author |
Azevedo Filho,Fernando Antonio Silva de |
author_facet |
Azevedo Filho,Fernando Antonio Silva de Abdouni,Yussef Ali Ogawa,Guilherme Sá,Cloud Kennedy Couto de Costa,Antonio Carlos da Fucs,Patrícia Maria de Moraes Barros |
author_role |
author |
author2 |
Abdouni,Yussef Ali Ogawa,Guilherme Sá,Cloud Kennedy Couto de Costa,Antonio Carlos da Fucs,Patrícia Maria de Moraes Barros |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Azevedo Filho,Fernando Antonio Silva de Abdouni,Yussef Ali Ogawa,Guilherme Sá,Cloud Kennedy Couto de Costa,Antonio Carlos da Fucs,Patrícia Maria de Moraes Barros |
dc.subject.por.fl_str_mv |
Brachial Plexus Nerve Transfer Muscle Contraction |
topic |
Brachial Plexus Nerve Transfer Muscle Contraction |
description |
ABSTRACT Objective: To evaluate the functional outcome of patients with traumatic brachial plexus injury undergoing the Oberlin procedure. Methods: Eighteen patients were assessed, comprising 17 men (94.4%) and 1 woman (5.6%), mean age 29.5 years (range 17-46 years), with upper traumatic brachial plexus injury (C5-C6 and C5-C7). We assessed active range of motion of the elbow, elbow flexion muscle strength and hand-grip strength, and applied the DASH (Disabilities of the Arm, Shoulder and Hand) questionnaire. Results: Four patients (22.2%) did not achieve effective elbow flexion strength (BMRC Grade 3). Mean active range of motion was 100.2° (±45.6°), and we observed a mean percentage of strength recovery relative to the contralateral limb of 35.5% (0-66.3%). Elbow flexion (p = 0.0001) and hand-grip (p = 0.0001) strength levels were lower on the affected side. Conclusion: The surgical technique described by Oberlin for brachial plexus injuries proved effective for restoring elbow flexion and produced no functional sequelae in the hand. Bicep strength outcomes were better when surgery was performed within 12 months of injury. Level of evidence II, retrospective study. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-11-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000600294 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1413-78522019000600294 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1413-785220192706224552 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
ATHA EDITORA |
publisher.none.fl_str_mv |
ATHA EDITORA |
dc.source.none.fl_str_mv |
Acta Ortopédica Brasileira v.27 n.6 2019 reponame:Acta Ortopédica Brasileira (Online) instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) instacron:SBOT |
instname_str |
Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
instacron_str |
SBOT |
institution |
SBOT |
reponame_str |
Acta Ortopédica Brasileira (Online) |
collection |
Acta Ortopédica Brasileira (Online) |
repository.name.fl_str_mv |
Acta Ortopédica Brasileira (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
1atha@uol.com.br||actaortopedicabrasileira@uol.com.br |
_version_ |
1752122276485005312 |