An adjustable shoulder abduction orthosis for the post-operative management of tendon transfers: A preliminary study

Erel S., Simsek I. E., Ayhan Ç., BEK N., Yakut Y., Uygur F.

Prosthetics and Orthotics International, cilt.32, sa.2, ss.129-135, 2008 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 2
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1080/03093640802015755
  • Dergi Adı: Prosthetics and Orthotics International
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.129-135
  • Anahtar Kelimeler: obstetric brachial plexus palsy, orthosis, shoulder abduction orthosis, rehabilitation, LATISSIMUS-DORSI TRANSFER, BRACHIAL-PLEXUS, STIMULATION
  • Lokman Hekim Üniversitesi Adresli: Hayır

Özet

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° 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.