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Effect of glenohumeral reduction type combined with tendon transfer for brachial plexus injury on objective, functional, and patient-reported outcomes

The Journal of Hand Surgery Feb 03, 2021

Russo SA, Richardson RT, Richards JG, et al. - This study was sought to compare objective, functional, and patient-reported outcomes between children who had undergone a tendon transfer and did not require glenohumeral (GH) reduction, required concomitant closed GH reduction, or required concomitant surgical GH reduction. Researchers included 54 children with BPBI who previously underwent teres major and/or latissimus dorsi transfer with or without concomitant GH reduction. According to the findings, individuals who had undergone a closed or surgical GH joint reduction consistently exhibited more GH elevation. Clinically, this corresponds to an abduction contracture. Modified Mallet scores were similar between groups whereas increased abduction contracture provided a benefit of greater overhead motion. Lower Brachial Plexus Profile Activity Short Form outcomes were observed in the surgical-reduction group.

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