Vanessa Choi Yin Wong, Darius Balumuka, Young Ji Tuen, Marija Bucevska, Rebecca Courtemanche, Kim Durlacher, Doria Bellows, Sally Hynes, Cynthia Verchere
BACKGROUND: For children with upper brachial plexus birth injury (BPBI; C5, C6, ±C7 roots), most clinics first recommend nonsurgical treatment followed by primary and/or secondary surgical interventions in selected patients. Since 2008, we have used an infant shoulder repositioning protocol (supination-external rotation [Sup-ER]) designed to prevent shoulder internal rotation contracture and its potential effects on the shoulder joint. This study characterizes our clinic's current choice, number, and timing of primary and secondary procedural interventions (including Botox) and compares Sup-ER protocol patients with those of our historical controls...
July 15, 2023: Hand: Official Journal of the American Association for Hand Surgery