Neuro-orthopedic management of shoulder deformity and dysfunction in brain-injured patients: a novel approach

The Journal of Head Trauma Rehabilitation
Mary Ann Keenan, Samir Mehta

Abstract

Shoulder problems are common in patients with traumatic brain injury. Very little has been written about the evaluation and neuro-orthopedic management of these problems. This is largely because there have not been surgical treatments available other than release of contracted, nonfunctional shoulders. Shoulder problems can be classified and evaluated using several different strategies: bony versus soft tissue restrictions; static versus dynamic deformities; traumatic injuries versus impairments secondary to weakness and spasticity; or problems of active function versus problems of passive function. Regardless of the classification system employed a systematic approach to evaluation and treatment is essential. Shoulder impairments can be corrected leading to significant improvement in functional outcomes. In this paper we report on the novel evaluation and surgical management options developed in our program for the most common shoulder problems encountered in patients with traumatic brain injury.

References

Jul 1, 1996·Journal of Neurology, Neurosurgery, and Psychiatry·B B BhaktaM A Chamberlain
Nov 3, 1998·American Journal of Physical Medicine & Rehabilitation·T IkaiK Yonemoto
Feb 26, 2003·Archives of Physical Medicine and Rehabilitation·Mary Ann KeenanRebecca Fidler-Sheppard
Apr 15, 2003·Journal of Rehabilitation Medicine·Hubert Vuagnat, Alex Chantraine

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Citations

Dec 19, 2012·Journal of Shoulder and Elbow Surgery·Erwan PansardFrançois Genêt
Jul 2, 2011·Journal of Shoulder and Elbow Surgery·Surena NamdariMary Ann Keenan
Aug 28, 2010·Clinical Radiology·D G F TávoraC E P Silva
Jul 20, 2018·Hand : Official Journal of the American Association for Hand Surgery·Bryan G BeutelEitan Melamed
Nov 4, 2004·The Journal of Bone and Joint Surgery. American Volume·Nader HebelaMary Ann Keenan
Jul 31, 2008·The Journal of the American Academy of Orthopaedic Surgeons·Mona A TaftiRanjan Gupta

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