Erel Suat, Simşek Ibrahim Engin, Ayhan Ciğdem, Bek Nilgün, Yakut Yavuz, Uygur Fatma
Hacettepe University School of Physical Therapy and Rehabilitation, Samanpazari, Ankara, Turkey.
Prosthet Orthot Int. 2008 Jun;32(2):129-35. doi: 10.1080/03093640802015755.
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.
在有或没有肩胛下肌/胸大肌松解的情况下，将背阔肌/大圆肌转移至肩袖是恢复产瘫后肩部外展和外旋的一种广泛应用的手术方法。术后，在肩人字石膏固定六周后，使用最大外旋且外展90 - 100度的肩部外展矫形器，以保护新转移的肌肉不被过度拉长。然而，这反过来可能会导致外旋肌挛缩。为克服这一问题，一家康复中心的矫形科研发了一种内外旋/外展-内收范围可调节的改良肩部外展夹板。本文描述了定制模制的可调节肩部外展矫形器，并将初步结果与之前的应用情况进行了比较。
