Cover Image

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...

Full description

Saved in:
Bibliographic Details
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
http://eprints.usm.my/43131/
Tags: Add Tag
No Tags, Be the first to tag this record!
id my.usm.eprints.43131
record_format eprints
spelling my.usm.eprints.43131 http://eprints.usm.my/43131/ Early review of shoulder arthrodesis in brachial plexus injury 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 NonPeerReviewed application/pdf en http://eprints.usm.my/43131/1/Dr._Wong_Chien_Chuan-24_pages.pdf Chuan, Wong Chien (2016) Early review of shoulder arthrodesis in brachial plexus injury. Masters thesis, Universiti Sains Malaysia.
institution Universiti Sains Malaysia
building Hamzah Sendut Library
collection Institutional Repository
continent Asia
country Malaysia
content_provider Universiti Sains Malaysia
content_source USM Institutional Repository
url_provider http://eprints.usm.my/
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
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
publishDate 2016
url http://eprints.usm.my/43131/1/Dr._Wong_Chien_Chuan-24_pages.pdf
http://eprints.usm.my/43131/
_version_ 1643710672457957376
score 13.211869

Similar Items