EVALUATION OF UPPER-LIMB FUNCTION IN PATIENTS WITH OBSTETRIC PALSY AFTER MODIFIED SEVER-L'EPISCOPO PROCEDURE
José Roberval de Luna Cabrai1, Bruno Eiras Crepaldi2, Marina Tommasini Carrara de Sambuy2
1Attending Physician in the Hand Surgery and Microsurgery Group, Irmandade da Santa Casa de Misericórdia de São Paulo, São Paulo, SP, Brazil.
Objective:
To evaluate upper-limb function by means of the Mallet score, in patients with medial rotation contracture of the shoulder who underwent the modified Sever-L'Episcopo procedure, and to correlate evolution with age and length of postoperative follow-up.
Methods:
Sixteen patients were assessed by comparing the pre and postoperative Mallet scores and correlating the differences between these scores with age at the time of surgery and length of follow-up.
Results:
A statistically significant improvement in the postoperative Mallet score was observed. The correlations of the differences in scores with age and length of follow-up were not statistically significant.
Conclusion:
The modified Sever-L'Episcopo procedure led to improved upper-limb function according to the Mallet score. Limb function did not present correlations with age or length of follow-up.


