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Prevention and Risk of IRCS and DGH

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Can shoulder problems be prevented?

Yes, with early physical therapy. The most important exercise is passive shoulder external rotation. It must be executed from the beginning by the parents. Experimental studies conducted by Dr Soldado, demonstrate that these exercises successfully avoid shortening and atrophy of the subscapularis muscle.

 

CMI

Figura 7 . One hand stabilizes the scapula, while the other hand rotates the upper limb outward, keeping the arm close to the chest and the elbow at a right angle.

 

Is it a common problem in BPBP? What children affected by BPBP may suffer shoulder problems?

Shoulder problems are the most common complication, therefore being the complication that generates more sequels in children with BPBP. It happens in approximately 20% of children with brachial plexus palsy. These problems can occur in brachial plexus palsies in which the recovery of elbow flexion occurs after 2 months of age.

Obstetric brachial palsy
Brachial Plexus Birth Palsy: Definition and Mechanisms of Injury:
Risk of brachial plexus birth palsy. Necessary diagnostic tests.
BPBP treatment: physical therapy and surgery
Shoulder problems in children with BPBP
Prevention and Risk of IRCS and DGH
Diagnosis and Treatment of Shoulder Dysplasia
What doctor does my baby need?
Clinical experience of Dr Soldado
Malformations
Short or absent thumb: thumb hypoplasia
Deviated wrist: radial and ulnar clubhand
Short fingers: Brachydactyly, symbrachydactyly, amniotic band syndrome
Less fingers: cleft hand and ulnar clubhand
Extra fingers or thumb: Polydactyly
Glued fingers or syndactyly
Cerebral Palsy
Definition, overview and assessment of cerebral palsy
Upper extremity problems in children with spastic hemiparesis
Nonsurgical treatment of spastic hemiparesis
The upper extremity in cerebral palsy with spastic tetraparesis
Surgical treatment of spastic hemiparesis
Microsurgery
Pediatric vascular microsurgery: overview
Bone loss reconstruction I: Vascularized fibula transfer
Bone loss reconstruction II: Periosteum transfer of vascularized fibula
Bone recalcitrant nonunion or pseudoarthrosis
Bone revascularization (osteonecrosis, aseptic necrosis)
Joint reconstruction. Transfer of epiphysis and growth plate of the vascularized fibula
Reimplantation and revascularization
Functional muscle transfer (vascularized and innervated)
Skin loss coverage
Fractures/Injuries
Overview of fractures
Typical bone fractures in children
Treatment of fractures in children: overview
Classification and treatment of physeal fractures
Fractures of the shoulder girdle, shoulder and arm of the child
Elbow fractures of the child
Fractures of the forearm and wrist of the child
Hand fractures in children
Upper extremity injuries of the child
Francisco Soldado
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Publications
Research Support
Known cases like yours
Cooperación internacional: Misiones quirúrgicas
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