caa a22 4500 463200055 CHVBK 20180405153109.0 cr unu---uuuuu 170326e20070301xx s 000 0 eng 10.1007/s00276-006-0173-1 doi (NATIONALLICENCE)springer-10.1007/s00276-006-0173-1 Scapular deformity in obstetric brachial plexus palsy: a new finding [Elektronische Daten] [Rahul Nath, Melia Paizi] While most obstetric brachial plexus palsy patients recover arm and hand function, the residual nerve weakness leads to muscle imbalances about the shoulder which may cause bony deformities. In this paper we describe abnormalities in the developing scapula and the glenohumeral joint. We introduce a classification for the deformity which we term Scapular Hypoplasia, Elevation and Rotation. Multiple anatomic parameters were measured in bilateral CT images and three-dimensional CT reconstruction of the shoulder girdle of 30 obstetric brachial plexus palsy patients (age range 10months-10.6years). The affected scapulae were found to be hypoplastic by an average of 14% while the ratio of the height to the width of the body of scapula (excluding acromion) were not significantly changed, the acromion was significantly elongated by an average of 19%. These parameters as well as subluxation of the humeral head (average 14%) and downward rotation in the scapular plane were found to correlate with the area of scapula visible over the clavicle. This finding provides a classification tool for diagnosis and objective evaluation of the bony deformity and its severity in obstetric brachial plexus palsy patients. Springer-Verlag, 2007 Brachial plexus nationallicence Birth injuries nationallicence Scapula nationallicence Acromion nationallicence Paralysis nationallicence Obstetric nationallicence Nath Rahul Texas Nerve and Paralysis Institute, 2201 W. Holcombe Blvd., Ste. 225, 77030, Houston, TX, USA aut Paizi Melia Texas Nerve and Paralysis Institute, 2201 W. Holcombe Blvd., Ste. 225, 77030, Houston, TX, USA aut Surgical and Radiologic Anatomy Springer-Verlag 29/2(2007-03-01), 133-140 0930-1038 29:2<133 2007 29 276 https://doi.org/10.1007/s00276-006-0173-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00276-006-0173-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Nath Rahul Texas Nerve and Paralysis Institute, 2201 W. Holcombe Blvd., Ste. 225, 77030, Houston, TX, USA aut NATIONALLICENCE 700 1- Paizi Melia Texas Nerve and Paralysis Institute, 2201 W. Holcombe Blvd., Ste. 225, 77030, Houston, TX, USA aut NATIONALLICENCE 773 0- Surgical and Radiologic Anatomy Springer-Verlag 29/2(2007-03-01), 133-140 0930-1038 29:2<133 2007 29 276 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer