Importance of the Wrist Extensor Muscle Training: Two Cases of Elbow Flexorplasty following Traumatic Brachial Plexus Injuries

Autor: Shigeki Kubota, Tadashi Kubo, Hiromi Kameda, Yoshiyasu Itoh
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Case Reports in Orthopedics, Vol 2018 (2018)
Druh dokumentu: article
ISSN: 2090-6749
2090-6757
DOI: 10.1155/2018/4691796
Popis: The modified Steindler procedure—a reconstructive surgery used to restore elbow flexion following upper brachial plexus injuries—involves shifting the origins of the muscle groups responsible for wrist flexion and forearm pronation originating from the medial epicondyle to the proximal direction to be used as flexors of the elbow. In the postoperative rehabilitation, we focused on strengthening not only the transferred muscle but also the wrist extensor muscles as antagonist muscles. After reconstruction surgery for elbow flexion via the modified Steindler procedure for traumatic brachial plexus injury, we performed long-term rehabilitation to strengthen the antagonist muscles. As a result, in two cases, excellent elbow flexion strength and gripping strength were achieved, confirming the importance of the antagonist muscles.
Databáze: Directory of Open Access Journals
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