Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista Brasileira de Ortopedia (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600787 |
Resumo: | Abstract Evaluate the results of a series of 28 cases of high obstetric paralysis treated with the Sever-L'Episcopo technique modified by Hoffer, between 2003 and 2016. Children (mean age, four years and seven months) with adduction contracture and internal rotation of the shoulder without secondary bone deformities (Mallet class II) underwent lengthening of the pectoralis major muscle and tenotomy of the subscapularis muscle associated with transfer of the latissimus dorsi and teres major muscle to the infraspinatus muscle, moving to the function of external rotators and elevators. The mean follow-up was three years and 10 months. At the end of the study, 24 patients achieved excellent functional assessment scores, mainly of the abduction and external rotation, passing from Mallet class II to class IV. Four patients still demonstrated some degree of global movement limitation, passing from class II to class III. Regardless of the final functional gain, all patients were able to perform tasks that were previously difficult. The data from this study suggest that Hoffer's surgery is an effective method in the treatment of the sequelae of high obstetric paralysis without secondary bone deformities. |
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Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffershoulderparalysis obstetriccontractureAbstract Evaluate the results of a series of 28 cases of high obstetric paralysis treated with the Sever-L'Episcopo technique modified by Hoffer, between 2003 and 2016. Children (mean age, four years and seven months) with adduction contracture and internal rotation of the shoulder without secondary bone deformities (Mallet class II) underwent lengthening of the pectoralis major muscle and tenotomy of the subscapularis muscle associated with transfer of the latissimus dorsi and teres major muscle to the infraspinatus muscle, moving to the function of external rotators and elevators. The mean follow-up was three years and 10 months. At the end of the study, 24 patients achieved excellent functional assessment scores, mainly of the abduction and external rotation, passing from Mallet class II to class IV. Four patients still demonstrated some degree of global movement limitation, passing from class II to class III. Regardless of the final functional gain, all patients were able to perform tasks that were previously difficult. The data from this study suggest that Hoffer's surgery is an effective method in the treatment of the sequelae of high obstetric paralysis without secondary bone deformities.Sociedade Brasileira de Ortopedia e Traumatologia2020-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600787Revista Brasileira de Ortopedia v.55 n.6 2020reponame:Revista Brasileira de Ortopedia (Online)instname:Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)instacron:SBOT10.1055/s-0040-1712990info:eu-repo/semantics/openAccessSevero,Antonio L.Carvalho,Pedro G. L.Lemos,Marcelo B.Nunes,Marcos C.Scaranto,MarjurieBarros,Fernando K.eng2021-02-01T00:00:00Zoai:scielo:S0102-36162020000600787Revistahttp://www.rbo.org.br/https://old.scielo.br/oai/scielo-oai.php||rbo@sbot.org.br1982-43780102-3616opendoar:2021-02-01T00:00Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT)false |
dc.title.none.fl_str_mv |
Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer |
title |
Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer |
spellingShingle |
Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer Severo,Antonio L. shoulder paralysis obstetric contracture |
title_short |
Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer |
title_full |
Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer |
title_fullStr |
Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer |
title_full_unstemmed |
Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer |
title_sort |
Obstetric Paralysis: Evaluation of the Sever-L'Episcopo Technique Modified by Hoffer |
author |
Severo,Antonio L. |
author_facet |
Severo,Antonio L. Carvalho,Pedro G. L. Lemos,Marcelo B. Nunes,Marcos C. Scaranto,Marjurie Barros,Fernando K. |
author_role |
author |
author2 |
Carvalho,Pedro G. L. Lemos,Marcelo B. Nunes,Marcos C. Scaranto,Marjurie Barros,Fernando K. |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Severo,Antonio L. Carvalho,Pedro G. L. Lemos,Marcelo B. Nunes,Marcos C. Scaranto,Marjurie Barros,Fernando K. |
dc.subject.por.fl_str_mv |
shoulder paralysis obstetric contracture |
topic |
shoulder paralysis obstetric contracture |
description |
Abstract Evaluate the results of a series of 28 cases of high obstetric paralysis treated with the Sever-L'Episcopo technique modified by Hoffer, between 2003 and 2016. Children (mean age, four years and seven months) with adduction contracture and internal rotation of the shoulder without secondary bone deformities (Mallet class II) underwent lengthening of the pectoralis major muscle and tenotomy of the subscapularis muscle associated with transfer of the latissimus dorsi and teres major muscle to the infraspinatus muscle, moving to the function of external rotators and elevators. The mean follow-up was three years and 10 months. At the end of the study, 24 patients achieved excellent functional assessment scores, mainly of the abduction and external rotation, passing from Mallet class II to class IV. Four patients still demonstrated some degree of global movement limitation, passing from class II to class III. Regardless of the final functional gain, all patients were able to perform tasks that were previously difficult. The data from this study suggest that Hoffer's surgery is an effective method in the treatment of the sequelae of high obstetric paralysis without secondary bone deformities. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-12-01 |
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=S0102-36162020000600787 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162020000600787 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1055/s-0040-1712990 |
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 |
Sociedade Brasileira de Ortopedia e Traumatologia |
publisher.none.fl_str_mv |
Sociedade Brasileira de Ortopedia e Traumatologia |
dc.source.none.fl_str_mv |
Revista Brasileira de Ortopedia v.55 n.6 2020 reponame:Revista Brasileira de Ortopedia (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 |
Revista Brasileira de Ortopedia (Online) |
collection |
Revista Brasileira de Ortopedia (Online) |
repository.name.fl_str_mv |
Revista Brasileira de Ortopedia (Online) - Sociedade Brasileira de Ortopedia e Traumatologia (SBOT) |
repository.mail.fl_str_mv |
||rbo@sbot.org.br |
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1752122362790150144 |