Postoperative physical therapy program for latissimus dorsi and teres major tendons transfer to rotator cuff in children with obstetrical brachial plexus injury.

Background: The transfer of latissimus dorsi and teres major tendons to rotator cuff have been developed to rebalance the muscular dysfunction and improve shoulder range of motion in children with obstetrical brachial plexus palsy (OBPP). No previous study reported the ideal postoperative physical therapy program for these cases.

Aim: The aim of the present study was to design appropriate postoperative physical therapy (PT) program after latissimus dorsi and teres major tendons transfer to rotator cuff in OBPP to improve upper limb function.

Tension band wiring for treatment of extra articular fracture of the base of first metacarpal.

Eleven patients with unstable extra-articular fractures of the base of the first metacarpal with angulations more than 30° uncorrected by closed reduction were treated by open reduction and tension band fixation. Ten men and one woman with a mean age of 36.18 years.

Treatment of post-infection nonunion of the supracondylar humerus with Ilizarov external fixator.

Background: Nonunion of the supracondylar area of the humerus is a very difficult area to treat. The Ilizarov method has been shown to be effective in the treatment of nonunion of the humeral diaphysis. However, there is little in the literature regarding the treatment of nonunion of the supracondylar area especially in post-infection cases.