Reanimation of Shoulder External Rotation Via Neurotization

NCT06787391 | Not Yet Recruiting

• 1 other identifier: Neurotization in OBPP
• Study Type: interventional
• Target: 25
• Locations: 0 countries
• Sites: N/A

Brief Summary

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

Conditions

Nerve Transfer

Keywords

Nerve transfer

Outcome Measures

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)

  Baseline

Secondary Outcomes (1)

• Measurement of ROM after Neurotization

  Baseline

Study Arms (1)

Just one group of patients children with OBPP presented with deficiency of active shoulder External

ACTIVE COMPARATOR

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

Interventions

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

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

Just one group of patients children with OBPP presented with deficiency of active shoulder External

Neurotization of Spinal Accessory Nerve To Supra-Scapular Nerve PROCEDURE

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

Just one group of patients children with OBPP presented with deficiency of active shoulder External

Eligibility Criteria

• Age: 1 Year - 3 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• children within 1.5 - 3 years .
• No previous surgery
• full passive ROM
• presented with Trumpet sign

You may not qualify if:

• age \<1.5 - \>3 years
• previous surgery in the shoulder
• Stiff shoulder.
• total OBPP
• traumatic BPI
• follow up \<1 year.

Sponsors & Collaborators

• Assiut University: lead

Related Publications (12)

• Elzinga KE, Curran MW, Morhart MJ, Chan KM, Olson JL. Open Anterior Release of the Superior Transverse Scapular Ligament for Decompression of the Suprascapular Nerve During Brachial Plexus Surgery. J Hand Surg Am. 2016 Jul;41(7):e211-5. doi: 10.1016/j.jhsa.2016.03.005. Epub 2016 Apr 22.

  PMID: 27113908 BACKGROUND

• Pondaag W, Malessy MJ, van Dijk JG, Thomeer RT. Natural history of obstetric brachial plexus palsy: a systematic review. Dev Med Child Neurol. 2004 Feb;46(2):138-44. doi: 10.1017/s0012162204000258. No abstract available.

  PMID: 14974639 BACKGROUND

• Gilbert A. Indications and strategy. In: Gilbert A, editor. Brachial plexus injuries. London: Martin Dunitz; 2001. p. 205-10.

  BACKGROUND

• Dailiana ZH, Mehdian H, Gilbert A. Surgical anatomy of spinal accessory nerve: is trapezius functional deficit inevitable after division of the nerve? J Hand Surg Br. 2001 Apr;26(2):137-41. doi: 10.1054/jhsb.2000.0487.

  PMID: 11281665 BACKGROUND

• Upton AR, McComas AJ. The double crush in nerve entrapment syndromes. Lancet. 1973 Aug 18;2(7825):359-62. doi: 10.1016/s0140-6736(73)93196-6. No abstract available.

  PMID: 4124532 BACKGROUND

• Leechavengvongs S, Malungpaishorpe K, Uerpairojkit C, Ng CY, Witoonchart K. Nerve Transfers to Restore Shoulder Function. Hand Clin. 2016 May;32(2):153-64. doi: 10.1016/j.hcl.2015.12.004.

  PMID: 27094888 BACKGROUND

• Bhandari PS, Sadhotra LP, Bhargava P, Bath AS, Mukherjee MK, Bhatti T, Maurya S. Surgical outcomes following nerve transfers in upper brachial plexus injuries. Indian J Plast Surg. 2009 Jul;42(2):150-60. doi: 10.4103/0970-0358.59272.

  PMID: 20368849 BACKGROUND

• Narakas AO, Hentz VR. Neurotization in brachial plexus injuries. Indication and results. Clin Orthop Relat Res. 1988 Dec;(237):43-56.

  PMID: 3056647 BACKGROUND

• Waters PM, Smith GR, Jaramillo D. Glenohumeral deformity secondary to brachial plexus birth palsy. J Bone Joint Surg Am. 1998 May;80(5):668-77. doi: 10.2106/00004623-199805000-00007.

  PMID: 9611027 BACKGROUND

• Buterbaugh KL, Shah AS. The natural history and management of brachial plexus birth palsy. Curr Rev Musculoskelet Med. 2016 Dec;9(4):418-426. doi: 10.1007/s12178-016-9374-3.

  PMID: 27680748 BACKGROUND

• Terzis JK, Papakonstantinou KC. Management of obstetric brachial plexus palsy. Hand Clin. 1999 Nov;15(4):717-36.

  PMID: 10563272 BACKGROUND

• Foad SL, Mehlman CT, Ying J. The epidemiology of neonatal brachial plexus palsy in the United States. J Bone Joint Surg Am. 2008 Jun;90(6):1258-64. doi: 10.2106/JBJS.G.00853.

  PMID: 18519319 BACKGROUND

Related Links

• Related Info

Study Officials

• Omar Ahmed Refai Mohammed, Assistant professor

  Assiut University

  STUDY DIRECTOR

Central Study Contacts

Ahmed Faraag Abu el wafa Sayed, Primary investigator

CONTACT

+0201123828697; Ahmed.15235760@med.aun.edu.eg

Amr El sayed Ali Ibrahim, Professor

CONTACT

+0201099021770; amrelsayed@med.aun.edu.eg

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Lecturer

Model Details: Measurement of clinical outcome of Reanimation Of Shoulder External Rotation In Children With Obestetric Brachial Plexus Palsy Through Neurotization Of Spinal Accessory Nerve To Supra- Scapular Nerve.

Study Record Dates

• First Submitted: January 14, 2025
• First Posted: January 22, 2025
• Study Start: January 20, 2025
• Primary Completion (Estimated): August 1, 2026
• Study Completion (Estimated): October 1, 2026
• Last Updated: January 22, 2025

Record last verified: 2025-01