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, ss.129-135, 2008 (SCI İndekslerine Giren Dergi) identifier identifier identifier

  • Cilt numarası: 32 Konu: 2
  • Basım Tarihi: 2008
  • Doi Numarası: 10.1080/03093640802015755
  • Sayfa Sayıları: ss.129-135


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.