Glenohumeral deformity in children with brachial plexus birth injuries: Early and late management strategies

David E. Ruchelsman, John A.I. Grossman, Andrew E. Price

Research output: Contribution to journalArticlepeer-review

17 Scopus citations

Abstract

Shoulder deformity remains the most common musculoskeletal sequela following a brachial plexus birth injury. The natural history of untreated glenohumeral deformity is one of progression in this unique patient population. In infants and young children with persistent neurological deficits, shoulder dysfunction becomes a major source of morbidity, as these children have extreme difficulty placing the hand in space. The functional limitations due to muscle denervation and the resultant periarticular soft tissue contractures and progressive osseous deformities have been well-characterized. Increasing attention is being given to he glenohumeral dysplasia (GHD) and the associated prevalence of early posterior dislocation of the shoulder in infants with brachial plexus birth injuries. GHD represents a spectrum of findings, including glenoid and humeral head articular incongruities and dysplasia, subluxation, and frank dislocation. This article presents our comprehensive, temporally-based management strategies for the glenohumeral joint deformities in these children utilizing soft tissue and bony reconstructive procedures.

Original languageEnglish
Pages (from-to)36-43
Number of pages8
JournalBulletin of the NYU hospital for joint diseases
Volume69
Issue number1
StatePublished - Mar 2011
Externally publishedYes

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