Early review of shoulder arthrodesis in brachial plexus injury

Introduction: Traumatic brachial plexus injury commonly occurs due to road traffic accident, it often leads to long term devastating disability and psychological stress to the affected individual. The injury leads to flail upper limb, impaired sensation and disabling pain. Shoulder arthrodesis is...

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Main Author:	Chuan, Wong Chien
Format:	Thesis
Language:	English
Published:	2016
Subjects:	RC31-1245 Internal medicine
Online Access:	http://eprints.usm.my/43131/1/Dr._Wong_Chien_Chuan-24_pages.pdf
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spelling	my-usm-ep.431312019-04-12T05:25:28Z Early review of shoulder arthrodesis in brachial plexus injury 2016 Chuan, Wong Chien RC31-1245 Internal medicine Introduction: Traumatic brachial plexus injury commonly occurs due to road traffic accident, it often leads to long term devastating disability and psychological stress to the affected individual. The injury leads to flail upper limb, impaired sensation and disabling pain. Shoulder arthrodesis is one of the treatment options that improved upper extremities functional outcome. This study intended to evaluate functional outcome of brachial plexus injury after shoulder fusion. Methods: A group of 22 patients with traumatic brachial plexus injury who undergone shoulder fusion from January 2010 until December 2013 were selected. In the end 18 patients were included as study subjects. All selected patients were evaluated for pain score, functional assessment using Quick.DASH questionnaire, and General well-being using SF-36 questionnaire during recent clinic follow up. Results: Shoulder fusion achieved significant reduction in pain among BPI patients . Most of the patient (63.2%) experience moderate difficulty of upper limb function after evaluated with QuickDASH questionnaire. All the patient achieved below average score in Physical Component Summary (PCS) and only 3 (16.7%) patients achieved score average(> 50) in Mental Component Summary (MCS). 16 (88.9%) patients achieved radiological union and only 2 (11.1%) patients had non-union.There were no significant correlation between radiological union and (QuickDASH) functional outcome or (SF36v2) general well-being in this study. Although majority of patient's general health (SF36v2) score below average, they were satisfied and had no regret to undergone shoulder fusion surgery. Conclusions: Shoulder arthrodesis was able to reduce pain in BPI patients. Although majority of patient experience moderate difficulty in upper limb functional score and below average general health score. Most patients were satisfied with the surgery done. Shoulder arthrodesis helps stabilised the shoulder joint which improved control of upper limb function and lead to better quality of life. 2016 Thesis http://eprints.usm.my/43131/ http://eprints.usm.my/43131/1/Dr._Wong_Chien_Chuan-24_pages.pdf application/pdf en public masters Universiti Sains Malaysia Pusat Pengajian Sains Perubatan
institution	Universiti Sains Malaysia
collection	USM Institutional Repository
language	English
topic	RC31-1245 Internal medicine
spellingShingle	RC31-1245 Internal medicine Chuan, Wong Chien Early review of shoulder arthrodesis in brachial plexus injury
description	Introduction: Traumatic brachial plexus injury commonly occurs due to road traffic accident, it often leads to long term devastating disability and psychological stress to the affected individual. The injury leads to flail upper limb, impaired sensation and disabling pain. Shoulder arthrodesis is one of the treatment options that improved upper extremities functional outcome. This study intended to evaluate functional outcome of brachial plexus injury after shoulder fusion. Methods: A group of 22 patients with traumatic brachial plexus injury who undergone shoulder fusion from January 2010 until December 2013 were selected. In the end 18 patients were included as study subjects. All selected patients were evaluated for pain score, functional assessment using Quick.DASH questionnaire, and General well-being using SF-36 questionnaire during recent clinic follow up. Results: Shoulder fusion achieved significant reduction in pain among BPI patients . Most of the patient (63.2%) experience moderate difficulty of upper limb function after evaluated with QuickDASH questionnaire. All the patient achieved below average score in Physical Component Summary (PCS) and only 3 (16.7%) patients achieved score average(> 50) in Mental Component Summary (MCS). 16 (88.9%) patients achieved radiological union and only 2 (11.1%) patients had non-union.There were no significant correlation between radiological union and (QuickDASH) functional outcome or (SF36v2) general well-being in this study. Although majority of patient's general health (SF36v2) score below average, they were satisfied and had no regret to undergone shoulder fusion surgery. Conclusions: Shoulder arthrodesis was able to reduce pain in BPI patients. Although majority of patient experience moderate difficulty in upper limb functional score and below average general health score. Most patients were satisfied with the surgery done. Shoulder arthrodesis helps stabilised the shoulder joint which improved control of upper limb function and lead to better quality of life.
format	Thesis
qualification_level	Master's degree
author	Chuan, Wong Chien
author_facet	Chuan, Wong Chien
author_sort	Chuan, Wong Chien
title	Early review of shoulder arthrodesis in brachial plexus injury
title_short	Early review of shoulder arthrodesis in brachial plexus injury
title_full	Early review of shoulder arthrodesis in brachial plexus injury
title_fullStr	Early review of shoulder arthrodesis in brachial plexus injury
title_full_unstemmed	Early review of shoulder arthrodesis in brachial plexus injury
title_sort	early review of shoulder arthrodesis in brachial plexus injury
granting_institution	Universiti Sains Malaysia
granting_department	Pusat Pengajian Sains Perubatan
publishDate	2016
url	http://eprints.usm.my/43131/1/Dr._Wong_Chien_Chuan-24_pages.pdf
_version_	1747821170908987392

Early review of shoulder arthrodesis in brachial plexus injury

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