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Treatment of shoulder deformity in acquired spasticity.

Authors
Type
Published Article
Journal
Clinical Orthopaedics and Related Research®
0009-921X
Publisher
Springer-Verlag
Publication Date
Issue
368
Pages
54–65
Identifiers
PMID: 10613153
Source
Medline

Abstract

Cerebrovascular accidents and traumatic brain injury produce most of the deformities seen in patients with spastic imbalance of the shoulder. A general awareness of the global neurologic defect is required to understand appropriate treatment alternatives. Conservative treatment techniques include early initiation of therapy exercises. Muscle or nerve block treatments may prevent severe shoulder contractures. Diagnostic blocks may help differentiate between deformity caused by spasticity and that caused by fixed soft tissue contracture. Operative release procedures are described. These operations, when combined with appropriate postoperative therapy programs, permit correction of contractures caused by unbalanced muscle forces around the shoulder in patients with severe spasticity who do not respond to conservative care.

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