Journal
JOURNAL OF PEDIATRIC ORTHOPAEDICS
Volume 25, Issue 3, Pages 400-404Publisher
LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/01.bpo.0000151055.62356.1b
Keywords
brachial plexus birth palsy; outcomes measures; Pediatric Outcomes Data Collection Instrument (PODCI); shoulder; tendon transfer
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The purpose of this study was to determine whether the Pediatric Outcomes Data Collection Instrument (PODCI) measures differences in function between children with brachial plexus birth palsy (BPBP) who are candidates for shoulder tendon surgery and age-matched controls. The PODCI was administered prospectively to 23 children with BPBP who were candidates for shoulder tendon surgery. Their results were compared with published PODCI data for control subjects, and factors associated with function within the BPBP cohort were determined. Children in the BPBP cohort had significantly lower PODCI scores in upper extremity function, sports, and global function than control subjects. Limited active shoulder external rotation was significantly associated with lower functional scores. The PODCI measures diminished upper extremity function in children with BPBP who are candidates for shoulder tendon surgery, thereby showing promise as a tool for measuring baseline function and postoperative functional gains for children with BPBP.
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