Pectoralis major release to improve shoulder abduction in children with cerebral palsy

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dc.authorwosidDomzalski, Marcin E/M-3523-2016
dc.contributor.authorDomzalski, Marcin
dc.contributor.authorInan, Muharrem
dc.contributor.authorLittleton, Aaron G.
dc.contributor.authorMiller, Freeman
dc.date.accessioned2024-08-04T21:00:09Z
dc.date.available2024-08-04T21:00:09Z
dc.date.issued2007
dc.departmentİnönü Üniversitesien_US
dc.description.abstractThe aim of our study was to evaluate the surgical results after pectoralis major muscle release in children with cerebral palsy and to assess a caregiver's satisfaction in patient's care after this procedure. Twenty-one shoulders in 13 patients were analyzed at least 12 months after surgery. All but 1 patient involved in our study had quadriplegic type of cerebral palsy involvement. In 17 limbs, only pectoralis release was performed; in 4 limbs, latissimus dorsi release was added. After clinical examination, a questionnaire was used to determine the caregiver's assessment. The passive range of abduction and flexion was maintained at an angle greater than 90 degrees in 10 patients. External rotation was restricted in 6 patients. All caregivers would recommend this surgery to another patient. All but one reported improvement in care of the patients after surgery. The indication for this surgical procedure is limited only to the selected cerebral palsy cases in which custodial care is impaired by shoulder adduction contracture. The 2 main indications for the procedure are the limitations in the ability to bathe the axilla and the difficulty in dressing.en_US
dc.identifier.doi10.1097/01.bpb.0000271320.10869.d1
dc.identifier.endpage461en_US
dc.identifier.issn0271-6798
dc.identifier.issn1539-2570
dc.identifier.issue4en_US
dc.identifier.pmid17513970en_US
dc.identifier.startpage457en_US
dc.identifier.urihttps://doi.org/10.1097/01.bpb.0000271320.10869.d1
dc.identifier.urihttps://hdl.handle.net/11616/103836
dc.identifier.volume27en_US
dc.identifier.wosWOS:000255766000018en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofJournal of Pediatric Orthopaedicsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectcerebral palsyen_US
dc.subjectpectoralis releaseen_US
dc.subjectshoulderen_US
dc.subjectupper extremityen_US
dc.titlePectoralis major release to improve shoulder abduction in children with cerebral palsyen_US
dc.typeArticleen_US

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