Denervation of the infraspinatus and release of the posterior deltoid muscles in the management of dyskinetic external shoulder rotation in cerebral palsy

Sökning: L773:1933 0707 > Denervation of the ...

Blaszczyk, Izabela (författare): Umeå universitet,Department of Hand and Plastic Surgery, University Hospital of Northern Sweden, Umeå, Sweden

Granström, Anna Cecilia (författare)

Wiberg, Mikael (författare): Umeå universitet,Institutionen för integrativ medicinsk biologi (IMB),Department of Hand and Plastic Surgery, University Hospital of Northern Sweden, Umeå, Sweden

(creator_code:org_t)

American Association of Neurological Surgeons, 2015
2015
Engelska.
Ingår i: Journal of Neurosurgery. - : American Association of Neurological Surgeons. - 1933-0707 .- 1933-0715. ; 15:4, s. 438-444

Relaterad länk:: https://doi.org/10.3...; visa fler...; https://urn.kb.se/re...; https://doi.org/10.3...; visa färre...

Abstract Ämnesord

Stäng

OBJECT: The dyskinetic subtype of cerebral palsy is difficult to manage, and there is no established gold standard for treatment. External rotation of the shoulder(s) is often managed nonsurgically using injections of botulinum toxin A into the external rotator muscles. This article reports a new surgical technique for managing external rotation when botulinum toxin A treatment is not sufficient or possible.METHODS: Six patients with dyskinetic cerebral palsy underwent denervation of the infraspinatus muscle and release of the posterior part of the deltoid muscle. Postoperative questionnaires were given to the patients/caregivers, and video recordings were made both pre- and postoperatively. Preoperative and postoperative Assisting Hand Assessment was possible in only 1 case.RESULTS: Five patients were very satisfied with their outcome. Four patients' video recordings showed improvement in their condition. One patient developed postoperative complications.CONCLUSIONS: The results indicate that denervation of the infraspinatus muscle and posterior deltoid release can be an option for patients with dyskinetic cerebral palsy to manage external rotation of the shoulder when other treatment alternatives are insufficient.

Av författaren/redakt...: Blaszczyk, Izabe ...; Granström, Anna ...; Wiberg, Mikael

Om ämnet

MEDICIN OCH HÄLSOVETENSKAP: MEDICIN OCH HÄLS ...; och Klinisk medicin; och Kirurgi

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