An adjustable shoulder abduction orthosis for the post-operative management of tendon transfers: A preliminary study.
Transfer of Musculus Latissimus dorsi/M. Teres major to the rotator cuff with or without M. Subscapularis/M. Pectoralis release is a widely used procedure for restoring shoulder abduction and external rotation in squeal of obstetric brachial plexus palsy. After the operation a shoulder abduction orthosis in maximal external rotation and 90 - 100 degrees abduction is utilized following six weeks of immobilization in a shoulder spica cast for protecting the newly transferred muscle from undue elongation. However this in turn may cause contracture of the external rotators. To overcome this problem, a modified shoulder abduction splint with adjustable internal-external rotation/abduction-adduction ranges was developed in the orthotics department of a rehabilitation center. The custom molded adjustable shoulder abduction orthosis is described and the preliminary results are compared with former applications.
Erel
Suat
S
Hacettepe University School of Physical Therapy and Rehabilitation, Samanpazari, Ankara, Turkey. erelsuat@hacettepe.edu.tr
Simşek
Ibrahim Engin
IE
Ayhan
Ciğdem
C
Bek
Nilgün
N
Yakut
Yavuz
Y
Uygur
Fatma
F
D001720:Birth Injuries / Q000150:complications; D020516:Brachial Plexus Neuropathies / Q000209:etiology / Q000534:rehabilitation / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D006801:Humans; D018482:Muscle, Skeletal / Q000601:surgery*; D009989:Orthotic Devices; D026741:Physical Therapy Modalities; D011184:Postoperative Period; D016059:Range of Motion, Articular / Q000502:physiology; D017006:Rotator Cuff / Q000503:physiopathology / Q000601:surgery; D012785:Shoulder Joint / Q000503:physiopathology* / Q000601:surgery*; D013709:Tendon Transfer; D016896:Treatment Outcome