Mod Quad surgery

[pook779]

Guest,

A child with an injured C7 root with recovering C5 and C6 are usually not candidates for surgery, as C7 gets its function from all the other nerves and these kids usually compensate. I have been told that if around 5-6 years there is still wrist drop and poor extension of fingers then a nerve tendon transfer is suggested. I have been told the same as BV, by almost every specialist. I even talked to Dr. Nath and there is not much they do with C7 kids unless there shoulder gets tight and that is mod quad. However not all kids with C7 issues need mod quad. It depends on the child. At this point BV's child is too young to consider tendon transfer as she is only three.

[admin]

My child who is 2yr she can verily reach her mouth and is unable to put her arm out to the side. She can not reach very far out in front of her. She has been going through Physical Therapy sence 3 months. Her nerves have regenerated. Per the MRI her shoulder joint is alright. Although her shoulder mouscles are limiting her upper arm. We have been told she need Mod Quad surgery and latter the Triangler Tilt. We are wondering how may parents have had these two surgeries and the out come. One year latter , five or ten years latter? (also at what age did your child have the surgery?)

[m&mmom]

Matthew's internal rotation was weakened by the mod quad and it's the one surgery I wish we did not do. He can not get his hand in his pocket, behind his back, on his hip. He can cross mid line now but he can not rest his arm on his chest. After the mod quad surgery Matthew was still severely internally rotated, and we were told that mod quad would reduce his internal rotation - it only got worse over time. I know others have had success with the mod quad so my advise would be to speak to as many doctors as you can, determine the true issue that needs to be addressed and find the best surgeon performing the specific surgery your child needs.

[rachelcasa]

Deciding on surgery is a tough option especially for your child. I am a 34 year old adult with OBPI (left arm) and had the mod quad with Dr. Nath 4 years ago. I would not change it for the world. As I was getting older my arm was shrinking and paralyzing itself due to the atrophy in my muscles. I since the surgery have regained a lot more range of motion in my arm, the pain has subsided (although I still have some) and have just gained so much more out of it. I was very pleased with Dr. Nath and the surgery. Being a mother myself I would be scared too. I hope you find out what works best for you and your child. Every person is different when it comes to surgery and every persons injury is also different. Best of luck to you in whatever you choose.
*HUGS*
Rachel (MT)

[carron]

My son Thomas also has little to no triceps but has biceps. He has had primary and modquad... Before mod quad he could not raise his arm at all. After the surgery and months of therapy he can raise his arm. of course we still have elbow contractor because of the week triceps. But he is 5 and i would do it all over again. It took guts to do it but he had no shoulder movement and it took months to see the change but he did it. He was 15 1/2 months old when he had it.
Best of luck
Carron