Comparison of Ultrasound and MRI for the Diagnosis of Glenohumeral Dysplasia in Brachial Plexus Birth Palsy

2017 ◽  
Vol 99 (2) ◽  
pp. 123-132 ◽  
Author(s):  
Kenneth W. Donohue ◽  
Kevin J. Little ◽  
John P. Gaughan ◽  
Scott H. Kozin ◽  
Brian D. Norton ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Brachial Plexus Birth Palsy ◽  
Glenohumeral Dysplasia ◽  
Birth Palsy

scholarly journals Imaging assessment of glenohumeral dysplasia secondary to brachial plexus birth palsy

2016 ◽  
Vol 49 (3) ◽  
pp. 144-149 ◽  
Author(s):  
Francisco Abaete Chagas-Neto ◽  
Vitor Faeda Dalto ◽  
Michel Daoud Crema ◽  
Peter M. Waters ◽  
Everaldo Gregio-Junior ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Humeral Head ◽  
Glenohumeral Joint ◽  
Glenoid Version ◽  
Cross Sectional ◽  
Posterior Displacement ◽  
Brachial Plexus Birth Palsy ◽  
Glenohumeral Dysplasia ◽  
The Mean ◽  
Birth Palsy

Abstract Objective: To assess imaging parameters related to the morphology of the glenohumeral joint in children with unilateral brachial plexus birth palsy (BPBP), in comparison with those obtained for healthy shoulders. Materials and Methods: We conducted a retrospective search for cases of unilateral BPBP diagnosed at our facility. Only patients with a clinical diagnosis of unilateral BPBP were included, and the final study sample consisted of 10 consecutive patients who were assessed with cross-sectional imaging. The glenoid version, the translation of the humeral head, and the degrees of glenohumeral dysplasia were assessed. Results: The mean diameter of the affected humeral heads was 1.93 cm, compared with 2.33 cm for those of the normal limbs. In two cases, there was no significant posterior displacement of the humeral head, five cases showed posterior subluxation of the humeral head, and the remaining three cases showed total luxation of the humeral head. The mean glenoid version angle of the affected limbs (90-α) was -9.6º, versus +1.6º for the normal, contralateral limbs. Conclusion: The main deformities found in this study were BPBP-associated retroversion of the glenoid cavity, developmental delay of the humeral head, and posterior translation of the humeral head.

scholarly journals Adding Value to the Magnetic Resonance Examination in a Case of Brachial Plexus Birth Palsy

2018 ◽  
Vol 8 ◽  
pp. 38 ◽  
Author(s):  
Ajay Prashanth Dsouza ◽  
Sachin Tandon ◽  
Munire Gundogan ◽  
Abdalla Ali Abdalla
Keyword(s):  
Magnetic Resonance ◽  
Brachial Plexus ◽  
Incremental Value ◽  
Brachial Plexus Birth Palsy ◽  
History Of ◽  
Musculoskeletal Manifestations ◽  
Glenohumeral Dysplasia ◽  
Musculoskeletal Abnormalities ◽  
Magnetic Resonance Imaging Mri ◽  
Birth Palsy

We report a case of brachial plexus birth palsy in an infant with the inability to move the left upper limb since birth. There was neither history of birth trauma nor any complications during delivery. Magnetic resonance imaging (MRI) of brachial plexus showed postganglionic injury with musculoskeletal abnormalities. The child underwent surgical repair of the plexus and is on physical rehabilitation. In this case report, we discuss the utility of a single MRI examination with an elaborate discussion on various MRI signs of brachial plexus injury including secondary musculoskeletal manifestations. The case reiterates the significance of two-in-one approach while imaging these cases with MRI. Apart from reporting the damage to the brachial plexus, the radiologist should actively search for glenohumeral dysplasia. Awareness of classification and assessment of glenohumeral dysplasia should be routinely included as an integral part of imaging report as it adds incremental value to the overall patient management and functional outcome.

Arthroscopic treatment of internal rotation contracture and glenohumeral dysplasia in children with brachial plexus birth palsy

2010 ◽  
Vol 19 (1) ◽  
pp. 102-110 ◽  
Author(s):  
Scott H. Kozin ◽  
Matthew J. Boardman ◽  
Ross S. Chafetz ◽  
Gerald R. Williams ◽  
Alexandra Hanlon
Keyword(s):  
Brachial Plexus ◽  
Internal Rotation ◽  
Arthroscopic Treatment ◽  
Brachial Plexus Birth Palsy ◽  
Glenohumeral Dysplasia ◽  
Birth Palsy

scholarly journals Range of motion and strength after surgery for brachial plexus birth palsy

2010 ◽  
Vol 82 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Mikko O Kirjavainen ◽  
Yrjänä Nietosvaara ◽  
Sanna M Rautakorpi ◽  
Ville M Remes ◽  
Tiina H Pöyhiä ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Range Of Motion ◽  
Brachial Plexus Birth Palsy ◽  
Birth Palsy

scholarly journals Motion Analytics of Trapezius Muscle Activity in an 18-Year-Old Female with Extended Upper Brachial Plexus Birth Palsy

2021 ◽  
Vol 16 (01) ◽  
pp. e51-e55
Author(s):  
Jasmine J. Lin ◽  
Gromit Y.Y. Chan ◽  
Cláudio T. Silva ◽  
Luis G. Nonato ◽  
Preeti Raghavan ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Upper Extremity ◽  
Muscle Activity ◽  
Visual Analytics ◽  
Three Dimensional ◽  
Trapezius Muscle ◽  
Shoulder Abduction ◽  
Upper Trapezius ◽  
Brachial Plexus Birth Palsy ◽  
Birth Palsy

Abstract Background The trapezius muscle is often utilized as a muscle or nerve donor for repairing shoulder function in those with brachial plexus birth palsy (BPBP). To evaluate the native role of the trapezius in the affected limb, we demonstrate use of the Motion Browser, a novel visual analytics system to assess an adolescent with BPBP. Method An 18-year-old female with extended upper trunk (C5–6–7) BPBP underwent bilateral upper extremity three-dimensional motion analysis with Motion Browser. Surface electromyography (EMG) from eight muscles in each limb which was recorded during six upper extremity movements, distinguishing between upper trapezius (UT) and lower trapezius (LT). The Motion Browser calculated active range of motion (AROM), compiled the EMG data into measures of muscle activity, and displayed the results in charts. Results All movements, excluding shoulder abduction, had similar AROM in affected and unaffected limbs. In the unaffected limb, LT was more active in proximal movements of shoulder abduction, and shoulder external and internal rotations. In the affected limb, LT was more active in distal movements of forearm pronation and supination; UT was more active in shoulder abduction. Conclusion In this female with BPBP, Motion Browser demonstrated that the native LT in the affected limb contributed to distal movements. Her results suggest that sacrificing her trapezius as a muscle or nerve donor may affect her distal functionality. Clinicians should exercise caution when considering nerve transfers in children with BPBP and consider individualized assessment of functionality before pursuing surgery.

Relationships Between 3 Classification Systems in Brachial Plexus Birth Palsy

2017 ◽  
Vol 37 (6) ◽  
pp. 374-380 ◽  
Author(s):  
Dustin A. Greenhill ◽  
Robert Lukavsky ◽  
Sandra Tomlinson-Hansen ◽  
Scott H. Kozin ◽  
Dan A. Zlotolow
Keyword(s):  
Brachial Plexus ◽  
Classification Systems ◽  
Brachial Plexus Birth Palsy ◽  
Birth Palsy
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