Late Treatment of Brachial Plexus Palsy Secondary to Birth Injuries: Rotational Osteotomy of the Proximal Part of the Humerus* by JOHN M. KIRKOS, and ISIDOROS.

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Presentation transcript:

Late Treatment of Brachial Plexus Palsy Secondary to Birth Injuries: Rotational Osteotomy of the Proximal Part of the Humerus* by JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am Volume 80(10): October 1, 1998 ©1998 by The Journal of Bone and Joint Surgery, Inc.

Figs. 1-A and 1-B: Case 9. JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80: ©1998 by The Journal of Bone and Joint Surgery, Inc.

Fig. 1-B: Fourteen years after the osteotomy, the patient was able to bring the hand to the mouth without any difficulty and the trumpeter sign was not present. JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80: ©1998 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-A through 2-F: Case 6. JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80: ©1998 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-B: Preoperatively, at the age of ten years, the arm was kept in 70 degrees of internal rotation with further active rotation to 110 degrees. JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80: ©1998 by The Journal of Bone and Joint Surgery, Inc.

Figs. 2-C: Preoperatively, at the age of ten years, the arm was kept in 70 degrees of internal rotation with further active rotation to 110 degrees. JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80: ©1998 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2-D Eighteen years after the osteotomy, the active range of motion of the arm had increased; external rotation was 45 degrees, and internal rotation was 80 degrees. JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80: ©1998 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2-E Eighteen years after the osteotomy, the active range of motion of the arm had increased; external rotation was 45 degrees, and internal rotation was 80 degrees. JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80: ©1998 by The Journal of Bone and Joint Surgery, Inc.

Fig. 2-F Eighteen years after the osteotomy, the active range of motion of the arm had increased; external rotation was 45 degrees, and internal rotation was 80 degrees. JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80: ©1998 by The Journal of Bone and Joint Surgery, Inc.

Figs. 3-A and 3-B: Case 19. JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80: ©1998 by The Journal of Bone and Joint Surgery, Inc.

Fig. 3-B: Five years after the osteotomy, abduction had improved and was possible in the frontal plane. JOHN M. KIRKOS, and ISIDOROS A. PAPADOPOULOS J Bone Joint Surg Am 1998;80: ©1998 by The Journal of Bone and Joint Surgery, Inc.