Break and rotate humerous???

Treatments, Rehabilitation, and Recovery
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dani_was_here
Posts: 37
Joined: Tue Sep 07, 2010 11:11 pm
Injury Description, Date, extent, surgical intervention etc: Traumatic BPI, June 8, 2008, Nerve graft surgery
Location: Ontario

Break and rotate humerous???

Post by dani_was_here »

Has anyone had or heard of a surgery where they break your humerous and rotate it out to help correct a problem of your arm rotating in to far?
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marieke
Posts: 1627
Joined: Fri Apr 01, 2005 6:00 pm
Injury Description, Date, extent, surgical intervention etc: LOBPI
no external rotation against gravity, can only go to 90 degree fwd flexion, no hand-to-mouth
1 surgery at age 14 (latissimus dorsi transfer). In 2004, at age 28 I was struck with Transverse Myelitis which paralyzed me from the chest down. I recovered movement to my right leg, but need a KAFO to walk on my left leg. I became an RN in 2008.
Location: Montreal, Qc, Canada
Contact:

Re: Break and rotate humerous???

Post by marieke »

It's called a derotational humeral osteotomy, or simply humeral osteotomy. They do it often for OBPI in older children/adults to get better positioning and more function.
Marieke Dufresne RN
34, LOBPI
http://nurse-to-be08.blogspot.com
kbaird
Posts: 1
Joined: Sun Jan 09, 2011 2:18 am
Injury Description, Date, extent, surgical intervention etc: brachial plexus/ spinal injury with spasticity, the result of a hunting accident

Re: Break and rotate humerous???

Post by kbaird »

I had this done about 25 years ago at Mass General Hospital, they put a plate with some screws over the bone. I think it did put my arm in a better position, i have a traumatic BPI,from a hunting accident 30 years ago.
dani_was_here
Posts: 37
Joined: Tue Sep 07, 2010 11:11 pm
Injury Description, Date, extent, surgical intervention etc: Traumatic BPI, June 8, 2008, Nerve graft surgery
Location: Ontario

Re: Break and rotate humerous???

Post by dani_was_here »

Thanks for your responses. I'm a little nervous about having this done.
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Christopher
Posts: 845
Joined: Wed Jun 18, 2003 10:09 pm
Injury Description, Date, extent, surgical intervention etc: Date of Injury: 12/15/02

Level of Injury:
-dominant side C5, C6, & C7 avulsed. C8 & T1 stretched & crushed

BPI Related Surgeries:
-2 Intercostal nerves grafted to Biceps muscle,
-Free-Gracilis muscle transfer to Biceps Region innervated with 2 Intercostal nerves grafts.
-2 Sural nerves harvested from both Calves for nerve grafting.
-Partial Ulnar nerve grafted to Long Triceps.
-Uninjured C7 Hemi-Contralateral cross-over to Deltoid muscle.
-Wrist flexor tendon transfer to middle, ring, & pinky finger extensors.

Surgical medical facility:
Brachial Plexus Clinic at The Mayo Clinic, Rochester MN
(all surgeries successful)

"Do what you can, with what you have, where you are."
~Theodore Roosevelt
Location: Los Angeles, California USA

Re: Break and rotate humerous???

Post by Christopher »

I've considered having it done, but my doctors said that the arm may still continue to rotate after surgery. So I thought I'd wait it out since there isn't a time constraint as to when you should have the surgery (at least in my case). I still think it would be useful, and if I ever get another major surgery, I'll probably get that done as well.

Best of Luck!
Christopher
dani_was_here
Posts: 37
Joined: Tue Sep 07, 2010 11:11 pm
Injury Description, Date, extent, surgical intervention etc: Traumatic BPI, June 8, 2008, Nerve graft surgery
Location: Ontario

Re: Break and rotate humerous???

Post by dani_was_here »

They are planning to fuse my wrist and do a tendon transfer to try and fix my hand at the same time so it's a lot to take in all at once. I don't know why but the whole rotating my arm I'm just not sure of. It might just be that the doctor doing that part of the surgery wants to video it. I just worry he hasn't done a lot of this surgery or maybe he wants to use it as a teaching tool. It s a teaching hospital. Thanks again for everyone's input.
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