AND Search OR Search
Phrase Search Show results per page





Patient Guide
Brachial Plexus Injury
Nerve (Primary) Surgery
Muscle Surgery
Mod Quad Surgery
Muscle Surgery Bicep Tendon Lengthening Surgery (BTL)
Triangle Tilt (bone) Surgery
Questions?
Surgeon
Information
Travel and
Logistics
Therapists and Physicians
Ready to Print Documents
Dr. Nath's Book
Brochures - Trifolds
Click above to Contact LOCATION


1200 Binz St,
Ste 1230
Houston , TX 77004
[ Map ]
Toll-Free
(866) 675-2200

Telephone
(713) 592-9900

Fax
(713) 592-9921

 


Dr.Nath's eNewsletter
View Archives
Sign Up  

 


Brachial Plexus Forum

Share ideas, lifestyle,
techniques interesting
observations and any other
issues you wish to discuss


 

Resources

  • Before and After TT
  • Bony Improvement - Before and After - Mod-Quad and TT


The SHEAR Deformity in OBPI

One of the most important consequences of OBPI is the internal rotation posture that is seen in many if not most of these children. It appears to be a continuation of the “waiter’s tip” posture seen at birth. The direct cause of the waiter's tip is weakness in the abductors and external rotator muscles of the shoulder. The first secondary effects are contractures that form in the gravity-enhanced muscles of the chest and back. This leads to weakness in abduction of the shoulder and is treated with the Mod Quad sequence of surgical procedures.

The Mod Quad has had a long record of success in improving abduction significantly. One residual problem has always been the ongoing internal rotation posture and winging of the scapula. Recent advances in 3D CT scan technology have allowed visualization of the bony deformity and then allowed design of a surgical procedure to improve the problem.

The bony changes are collectively known as a SHEAR deformity (Scapular Hypoplasia, Elevation and Rotation). There are 5 grades (0 through 4) and the Triangle Tilt surgery normalizes the relationships of the bones to allow better arm and hand positioning, movement, and growth.

GRADE 0


GRADE 1
GRADE 2
GRADE 3
GRADE 4

Contact US

 
 
 
 

 

PHYSICIAN AND
  THERAPIST’S ONLINE
  REFERRAL SYSTEM

For therapists,doctors
and other health care
providers who wish to
reffer patients for
evaluation and/or treatment.

 


Brachial Plexus Art
  Gallery

A Gallery of images
showing the human side
of the injury, and
giving sense of hope
for the future.

 

Association of BPI Therapists

The Association of
Brachial Plexus Therapists
would like to provide
a means for therapists..
- Read More

 

Brachial Plexus Brachial Plexus Injury  Brachial Plexus surgery Brachial   Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Brachial Plexus  Erbs palsy  Erb´s palsy  Erb´s palsy  Erb palsy  Erb palsy  Erb palsy  Erb palsy