Long-term functional outcome of secondary shoulder surgery in brachial plexus birth palsy patients.

Multiple secondary surgical procedures of the shoulder, such as soft-tissue releases, tendon transfers, and osteotomies, are described in brachial plexus birth palsy (BPBP) patients. The long-term functional outcomes of these procedures described in the literature are inconclusive. We aimed to analyze the literature looking for a consensus on treatment options.

[A man with shoulder pain after a survival run].

A 31-year-old man presented with pain of the left shoulder after acute protraction of the shoulder with a forced abduction and exorotation during a survival run. Flexion and abduction were painful, as well as palpation at the medial side of the coracoid process. Isolated rupture of the minor pectoralis muscle was confirmed.

Excellent results with the cemented Lubinus SP II 130-mm femoral stem at 10 years of follow-up: 932 hips followed for 5-15 years.

Background And Purpose: The Lubinus SP II stem is well documented in both orthopedic registries and clinical studies. Worldwide, the most commonly used stem lengths are 150 mm and 170 mm. In 1995, the 130-mm stem was introduced, but no outcome data have been published.