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Related Concept Videos

Guidelines for Writing Outcome01:11

Guidelines for Writing Outcome

When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care evaluation by...

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Related Experiment Video

Updated: May 11, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
09:34

Structured Motor Rehabilitation After Selective Nerve Transfers

Published on: August 15, 2019

Functional outcome after the Hoffer procedure.

Amera Murabit1, Maria Gnarra, Kathleen O'Grady

  • 1Edmonton, Alberta, Canada From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Faculty of Medicine and Dentistry, University of Alberta; and Occupational Therapy, Glenrose Rehabilitation Hospital.

Plastic and Reconstructive Surgery
|May 30, 2013
PubMed
Summary
This summary is machine-generated.

The Hoffer procedure significantly improves shoulder abduction and external rotation in children with obstetrical brachial plexus palsy, enhancing daily activities. This surgical technique preserves essential internal rotation, offering a valuable solution for secondary shoulder deformities.

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Last Updated: May 11, 2026

Structured Motor Rehabilitation After Selective Nerve Transfers
09:34

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Published on: August 15, 2019

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study
06:58

A Structured Rehabilitation Protocol for Improved Multifunctional Prosthetic Control: A Case Study

Published on: November 6, 2015

Area of Science:

  • Pediatric Orthopedics
  • Neuromuscular Surgery
  • Reconstructive Surgery

Background:

  • Children with obstetrical brachial plexus injury often develop shoulder deformities like internal rotation and adduction contractures.
  • This limits their ability to externally rotate and abduct the shoulder, impacting daily activities.

Purpose of the Study:

  • To evaluate the Hoffer procedure for its effectiveness in improving shoulder abduction and external rotation.
  • To assess the impact of the Hoffer procedure on activities of daily living in children with obstetrical brachial plexus palsy.

Main Methods:

  • Retrospective review of patients who underwent the Hoffer tendon transfer procedure for shoulder deformities.
  • Preoperative and postoperative active movement and range of motion were measured using the Mallet scale and Active Movement Scale.

Main Results:

  • The Hoffer procedure demonstrated statistically significant improvements in shoulder abduction (1.20 Mallet scale) and external rotation (1.35 Mallet scale).
  • Significant gains were also observed in hand-to-neck and hand-to-back movements, with an aggregate Mallet score improvement of 5.20 (p<0.001).
  • Younger patients (≤6 years) and those with better preoperative shoulder flexion and internal rotation showed superior outcomes.

Conclusions:

  • The Hoffer procedure offers significant clinical and statistical benefits for children with obstetrical brachial plexus palsy and secondary shoulder deformities.
  • It effectively enhances external rotation and abduction while maintaining functional internal rotation, improving overall shoulder function.