Starting on:
Jun 1, 2025
Ending on:
Jun 1, 2025
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Kenya Society of Plastic, Reconstructive and Aesthetic Surgeons
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Jun 1, 2025
Ending on:
Jun 1, 2025
Moderator(s):
Dr.
Dorsi JOWI
Plastic Surgeon
URL: Plastic Surgeon
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Kenya Society of Plastic, Reconstructive and Aesthetic Surgeons
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SHOULDER SEQUELAE IN BRACHIAL PLEXUS BIRTH INJURY
Starting on:
Jun 1, 2025
Jun 1, 2025
Ending on:
Jun 1, 2025
Jun 1, 2025
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Description
Shoulder sequelae in brachial plexus birth injury result from muscle imbalance and weakness, particularly of the shoulder external rotators and abductors, leading to internal rotation contractures, limited range of motion, and potential shoulder subluxation or dislocation. Over time, these imbalances may cause glenohumeral dysplasia and soft tissue deformities, limiting functional use of the affected arm. Clinically, infants may present with asymmetrical posture, difficulty lifting the arm, and challenges with reaching or grasping, highlighting the need for early therapeutic intervention to prevent permanent deformities and optimize function.
Objectives
The objectives in managing shoulder sequelae of brachial plexus birth injury are to prevent and correct deformities such as internal rotation contractures and subluxation, maintain and improve shoulder range of motion, and strengthen weak muscles, particularly the external rotators and abductors, to restore balance. Therapy also aims to promote symmetrical posture and functional use of the affected arm, prevent secondary joint and soft tissue complications like glenohumeral dysplasia, enhance independence in reaching and daily activities, and educate caregivers on proper handling, positioning, and home exercise programs to support ongoing recovery.
Presenters
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Dr.
Steven Koehler
Physician in Hand, Upper Limb & Microsurgery and Pediatric Orthopedic Surgery
Physician in Hand, Upper Limb & Microsurgery and Pediatric Orthopedic Surgery and Associate Professor