Arthroscopic Release Of Shoulder Internal Rotation Contracture In Brachial Plexus Palsy

Arthroscopy Clinical Trial

Official title:

Arthroscopic Release Of Shoulder Internal Rotation Contracture In Brachial Plexus Palsy

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT05995795
• Other study ID #: Arthroscopy in OBBP
• Status: Not yet recruiting
• Start date: September 1, 2023
• Est. completion date: September 1, 2025

Study information

• Verified date: August 2023
• Source: Assiut University
• Contact: MOHAMED HAMED, MASTER
• Phone: 01146962067
• Email: dr.mohamedelhamed[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The purpose of this study is to evaluate the efficacy periarticular capsuloligamentous arthroscopic release of shoulder internal rotation contracture in brachial plexus palsy without any further intervention as tendon transfer.

Description:

Obstetrical brachial plexus paralysis (OBPP) refers to complete or partial injury of the brachial plexus produced at the time of birth. OBPP involves most commonly the upper cervical roots (C5, C6) resulting in muscle imbalance between internal and external rotators of the shoulder . Although the majority of the patients (80-90%) recover spontaneously, some have a remaining imbalance causing severe functional impairment . In addition to diminished function, prolonged muscle contractures result in bony deformities in both the glenoid and proximal humerus. Internal rotation contractures due to external rotational weakness are the most common deformity in OBPP. Contracture release, tendon transfers, and rotational osteotomies are surgical methods used, depending on the level of deformity and the patient's age. To achieve functional external rotation of the arm, contracted structures should be released first. Currently, there is a lack of consensus on which procedures over the best outcome for mobility and function, and what are the precise indications for each type of surgery. There is also a large variation of practice between centers

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 20
• Est. completion date: September 1, 2025
• Est. primary completion date: September 1, 2024
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 1 Year to 15 Years

Eligibility

Inclusion Criteria:

• children from 1 year to 15years of age.

• all genders

• patients with brachial plexus injury operated or not with internal rotation contracture

• patient with traumatic brachial plexus injury have residual internal rotation contracture

Exclusion Criteria:

• History of septic shoulder

• Flail anaethetic limb

• glenohumeral posterior sublaxation or dislocation in CT

Related Conditions & MeSH terms

• Arthroscopy
• Contracture

Intervention

Device:
• ARTHROSCOY
arthroscopy

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

References & Publications (1)

Hale HB, Bae DS, Waters PM. Current concepts in the management of brachial plexus birth palsy. J Hand Surg Am. 2010 Feb;35(2):322-31. doi: 10.1016/j.jhsa.2009.11.026. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of participants with failure of initial intervention	change of improvement of passive and active external rotation of operated shoulder using mallet score	1 year