Incidence of early posterior shoulder dislocation in brachial plexus birth palsy.

TY - JOUR

T1 - Incidence of early posterior shoulder dislocation in brachial plexus birth palsy.

AU - Dahlin, Lars

AU - Erichs, Kristina

AU - Andersson, Charlotte

AU - Thornqvist, Catharina

AU - Backman, Clas

AU - Düppe, Henrik

AU - Lindqvist, Pelle

AU - Forslund, Marianne

N1 - The information about affiliations in this record was updated in December 2015. The record was previously connected to the following departments: Pediatrics/Urology/Gynecology/Endocrinology (013240400), Reconstructive Surgery (013240300), Hand Surgery Research Group (013241910)

PY - 2007

Y1 - 2007

N2 - ABSTRACT: BACKGROUND: Posterior dislocation of the shoulder in brachial plexus birth palsy during the first year of life is rare but the incidence increases with age. The aim was to calculate the incidence of these lesions in children below one year of age. METHODS: The incidence of brachial plexus birth lesion and occurrence of posterior shoulder dislocation was calculated based on a prospective follow up of all brachial plexus patients at an age below one in Malmö municipality, Sweden, 2000-2005. RESULTS: The incidence of brachial plexus birth palsy was 3.8/1000 living infants and year with a corresponding incidence of posterior shoulder dislocation (history, clinical examination and x-ray) during the first year of 0.28/1000 living infants and year, i.e. 7.3% of all brachial plexus birth palsies. CONCLUSION: All children with a brachial plexus birth lesion (incidence 3.8 per thousand) should be screened, above the assessment of neurological recovery, during the first year of life for posterior dislocation of the shoulder (incidence 0.28 per thousand) since such a condition may occur in 7% of children with a brachial plexus birth lesion.

AB - ABSTRACT: BACKGROUND: Posterior dislocation of the shoulder in brachial plexus birth palsy during the first year of life is rare but the incidence increases with age. The aim was to calculate the incidence of these lesions in children below one year of age. METHODS: The incidence of brachial plexus birth lesion and occurrence of posterior shoulder dislocation was calculated based on a prospective follow up of all brachial plexus patients at an age below one in Malmö municipality, Sweden, 2000-2005. RESULTS: The incidence of brachial plexus birth palsy was 3.8/1000 living infants and year with a corresponding incidence of posterior shoulder dislocation (history, clinical examination and x-ray) during the first year of 0.28/1000 living infants and year, i.e. 7.3% of all brachial plexus birth palsies. CONCLUSION: All children with a brachial plexus birth lesion (incidence 3.8 per thousand) should be screened, above the assessment of neurological recovery, during the first year of life for posterior dislocation of the shoulder (incidence 0.28 per thousand) since such a condition may occur in 7% of children with a brachial plexus birth lesion.

U2 - 10.1186/1749-7221-2-24

DO - 10.1186/1749-7221-2-24

M3 - Article

VL - 2

SP - 24

JO - Journal of Brachial Plexus and Peripheral Nerve Injury

JF - Journal of Brachial Plexus and Peripheral Nerve Injury

SN - 1749-7221

IS - Dec 16

ER -