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Bilateral Shoulder Edge Adduction Scar Contractures: Anatomy and Treatment

  • Viktor M. Grishkevich
  • Max Grishkevich
Chapter

Abstract

Bilateral shoulder adduction contracture is a result of widespread, deep burns, with the scars covering the shoulder joint but not the axillary fossa. The literature is lacking on information on treatment. Triangular techniques do not yield satisfactory outcomes. The scars on the shoulder and chest wall restrict the use of propeller and other local flap forms. Therefore, fascio-cutaneous and musculo-cutaneous flaps become an alternative technique for correction of bilateral shoulder contractures. Our experience proved that shoulder bilateral adduction contracture is successfully eliminated with axillary trapezoid flaps, using one- or two-stage trapezoid-flap plasty.

Keywords

Bilateral shoulder contracture Contracture anatomy Shoulder burns Scar surface deficit Axillary trapezoid flap Shoulder reconstruction 

References

  1. 1.
    Walash A, Kishk T, Ghareeb F. Treatment of postburn axillary contracture. Menoufia Med J. 2014;27(2):278–83.CrossRefGoogle Scholar
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    Chen B, Xu M, Chan J, Song H, Gao Q. Treatment of severe or moderate axillary burn scar contracture with transverse island scapular flap in adult and children. Burns. 2015;41:872–80.CrossRefPubMedGoogle Scholar
  3. 3.
    Grishkevich VM. Bilateral shoulder edge adduction contracture: anatomy and treatment with axillary adipose-cutaneous trapezoid flaps, a new approach. JSM Burns Trauma. 2017;2(1):1009. https://www.jscimedcentral.com/Burns/burns-2-1009.pdf. Accessed 10 Dec 2017.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Viktor M. Grishkevich
    • 1
  • Max Grishkevich
    • 2
  1. 1.Happy ValleyUSA
  2. 2.VIP MediSpaClackamasUSA

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