Muscular and glenohumeral changes in the shoulder after brachial plexus birth palsy: an MRI study in a rat model

<p>Abstract</p> <p>Background</p> <p>Shoulder abnormalities are the major cause of morbidity in upper brachial plexus birth palsy (BPBP). We developed a rat model of upper trunk BPBP and compared our findings to previously reported animal models and to clinical findings...

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Bibliographic Details
Main Authors: Soldado Francisco, Benito-Castillo David, Fontecha Cesar G, Barber Ignasi, Marotta Mario, Haddad Sleiman, Menendez Mariano E, Mascarenhas Vasco V, Kozin Scott H
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2012-12-01
Series:Journal of Brachial Plexus and Peripheral Nerve Injury
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Online Access:http://www.jbppni.com/content/7/1/9
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Summary:<p>Abstract</p> <p>Background</p> <p>Shoulder abnormalities are the major cause of morbidity in upper brachial plexus birth palsy (BPBP). We developed a rat model of upper trunk BPBP and compared our findings to previously reported animal models and to clinical findings in humans.</p> <p>Methods</p> <p>Forty-three 5-day-old newborn rats underwent selective upper trunk neurectomy of the right brachial plexus and were studied 3 to 20 weeks after surgery. The passive shoulder external rotation was measured and the shoulder joint was assessed bilaterally by a 7.2T MRI bilaterally.</p> <p>Results</p> <p>We found a marked decrease in passive shoulder external rotation, associated with a severe subscapularis muscle atrophy and contracture. None however developed the typical pattern of glenohumeral dysplasia.</p> <p>Conclusions</p> <p>In contradiction with previous reports, our study shows that the rat model is not adequate for preclinical studies of shoulder dysplasia. However, it might serve as a useful model for studies analyzing shoulder contracture occurring after upper BPBP.</p>
ISSN:1749-7221