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Journal of Hand Surgery (British and European Volume)
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Articles

Classification of Impairment of Shoulder Abduction in Obstetric Brachial Plexus Palsy and its Clinical Significance

Y-D. GU
L. CHEN
L-Y. SHEN

From the Department of Hand Surgery, Hua Shan Hospital, Shanghai Medical University, Shanghai, P.R. China

Correspondence: Y-D. Gu MD, Department of Hand Surgery, Hua Shan Hospital, 12 Wulumuqi Zhong Road, Shanghai 200040, P.R. China.

Shoulder abduction was studied in 25 cases of obstetric brachial plexus palsy (OBPP). According to muscle function, electromyographic features and X-ray examination, impairment of shoulder abduction could be classified into dynamic, resistant or combined types. Five cases were the dynamic type, which was characterized by paralysis of the shoulder abductors. Fifteen cases were categorized as the resistant type, with contracture of the subscapularis muscle, co-contraction of latissimus dorsi and teres major muscles and secondary disorders of the shoulder joint. Five cases were classified as the combined type in which there were both dynamic and resistant factors. Appropriate management and surgical procedures in the shoulder affected by OBPP depend on the pathological classification.

Journal of Hand Surgery (British and European Volume), Vol. 25, No. 1, 46-48 (2000)
DOI: 10.1054/jhsb.1999.0282
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This article has been cited by other articles:


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 J Hand Surg Eur VolHome page
M. M. AL-QATTAN, H. AL-HUSAINAN, A. AL-OTAIBI, and M. S. EL-SHARKAWY
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