Reanimation of Shoulder External Rotation Via Neurotization

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age1-3
SponsorAssiut University

About this trial

Measurement of clinical outcome after nerve transfer in deficiency of shoulder external rotation in children with OBPP.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

children within 1.5 - 3 years .

No previous surgery

full passive ROM

presented with Trumpet sign

Disqualifiers

age <1.5 - >3 years

previous surgery in the shoulder

Stiff shoulder.

total OBPP

Trial design

Design model

Single group

Treatments tested in this trial

  • Neurotization of Spinal Accessory Nerve To Supra-Scapular in children with OBPP with deficiency of Shoulder External Rotation

    Procedure/Surgery

    Neurotization of Spinal Accessory Nerve To Supra-Scapular Nerve in children with OBPP presented with deficiency of Shoulder External Rotation.

  • Neurotization of Spinal Accessory Nerve To Supra-Scapular Nerve

    Procedure/Surgery

    Just to assess clinical outcomes after Neurotization of spinal accessory nerve to Supra-Scapular Nerve in patients with deficiency of Shoulder External Rotation

Treatment groups

25 Participants
are divided into 1 treatment group
Group A: Just one group of patients children with OBPP presented with deficiency of active shoulder ExternalActive comparator 2 interventions

Trial outcomes

Primary outcomes

1

Neurotization in OBPP

Improvement in Shoulder External Rotation after neurotization, and Functional Outcome Scores using mallet score Measurement of the clinical outcome of Active shoulder external rotation following Spinal accessory nerve to supra scapular Nerve transfer in children with Obstetric brachial plexus palsy, , * follow up one year or more , or Recovery of active ER . * based on:- * 1-------- mallet score from 1 to 5:--- (12) 1\. Flail shoulder 2. Zero degree external rotation 3. Active ER up to 20 degrees 4. Active ER over than 20 degrees 5. Normal shoulder * 2----Gilbert shoulder score :- for shoulder ROM and strength (13) 0- complete flail shoulder( none) 1. no active ER , Abduction to 45° ( poor) 2. neutral ER , Abduction\<90(fair) 3. weak ER , Abduction= 90°( satisfactory) 4. incomplete ER, Abduction\<120°( good ) 5. active ER , Abduction\> 120°( excellent)

Time frame
Baseline

Secondary outcomes

1

Measurement of ROM after Neurotization

Asses the recovery of shoulder stability and overall. Shoulder Range of Motion (ROM):

Time frame
Baseline

Other outcomes

Locations

This trial has no locations.

Sponsors and contacts

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