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Modified Mallet classification. Adapted from Abzug et al. (2010)

Modified Mallet classification. Adapted from Abzug et al. (2010)

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The aims of this study are: to calculate the annual incidence of permanent BPBI in the hospital district of Helsinki and Uusimaa in 1995-2019, to analyze whether cervical MRI is reliable in detecting root avulsions, to assess if shoulder dysplasia can be prevented by a protocol including early ROM exercises, ultrasound (US) screening, and BTX injec...

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Context 1
... It has since been further modified adding a sixth position (hand-to-belly). 66 Administering the modified Mallet classification involves observing the child positioning his/ her upper extremity in standard positions unaided by compensation and scoring the observed movement on a scale between I (no function) and V (full function) ( Figure 5). The Mallet classification is validated for use in children with BPBI and has demonstrated good intra-and inter-observer reliability, as well as internal consistency. ...
Context 2
... whose injury does not fully reslove during the first three months should undergo dynamic US screening during the first year. If restriction of passive ER in adduction is observed (<70°), or subluxation is detectedon US, BTX injections to all internal rotators should be administered in combination with a six-week continuous spica brace ( Figure 5 and 15). ...