Treatment of recurrent posterior dislocation of the shoulder in cerebral palsy by injection with botulinum toxin A into the M. subscapularis

Boer, Kees S. de; Rozing, P. M.; Arendzen, J. Hans

doi:10.1191/0269215504cr800oa

Cited by 9 publications

(8 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The affected arm was held in internal rotation to achieve sufficient winging of the medial edge of the scapula. At one-third and two-thirds of the distance between the superior and inferior scapular angle, a curved 90 mm needle was inserted and guided under the scapula just until the tip of the needle reached the scapular periosteum, marked by a bony resistance felt by the injector and/or the sensation of a sudden sharp pain by the patient 17. The needle was then retracted a few millimetres before application of 50 units of Botox dissolved in 1 ml of saline 0.9% or placebo (1 ml 0.9% of saline only, control group) at each injection site.…”

Section: Methodsmentioning

confidence: 99%

Shoulder pain and external rotation in spastic hemiplegia do not improve by injection of botulinum toxin A into the subscapular muscle

Boer

Arwert

Groot

et al. 2008

Journal of Neurology, Neurosurgery & Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

Shoulder pain and external rotation in spastic hemiplegia do not improve by injection of botulinum toxin A into the subscapular muscle

Boer

Arwert

Groot

et al. 2008

Journal of Neurology, Neurosurgery & Psychiatry

Self Cite

View full text Add to dashboard Cite

show abstract

“…The chemodenervating effect combined with the reduction in nociception enables a rehabilitation window to be opened in patients not suitable for surgical treatment and resistant to conservative therapy [3,8,11,13,14].…”

Section: Discussionmentioning

confidence: 99%

Treatment of scapula dyskinesia with botulin toxin: two case reports

et al. 2010

View full text Add to dashboard Cite

We report two cases of scapula-thoracic dyskinesia with different etiologies where both patients complained of functional limitation and pain in the shoulder. The first case was caused by a road accident, the second by sequelae of surgery to remove aggressive scapula-axillary fibromatosis. In both patients, therapy with botulin toxin type A (Botox) was performed, which determined a reduction in pain. In the first case, there was also an improvement in function. There were no side effects in the two patients after the injections.

show abstract

“…Concerns about shoulder instability and subluxation are widely expressed in the literature with regard to acquired spasticity, but the natural history of the typical shoulder deformities in CP has received little focus. 4,7 In our study, the average age of the patients at the time of surgical procedure was 14 years. At this age, the contractures of the muscle around the shoulder still have not caused secondary bony changes or severe fixed joint contractures.…”

Section: Discussionmentioning

confidence: 99%

“…In patients with hemiplegia, a subscapularis nerve block and botulinum toxin A injections were used to prevent posterior subluxation and to relieve pain. 7,8 In rare cases of abduction external rotation contractures of the shoulder, the scapularis muscle plays an important role as an anterior stabilizer. 2,3 After pectoralis release in our study, we did not find cases of shoulder instability during follow-up examinations.…”

Section: Discussionmentioning

confidence: 99%

Pectoralis Major Release to Improve Shoulder Abduction in Children With Cerebral Palsy

Domżalski¹,

İnan²,

Littleton³

et al. 2007

Journal of Pediatric Orthopaedics

View full text Add to dashboard Cite

The 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.

show abstract

Treatment of recurrent posterior dislocation of the shoulder in cerebral palsy by injection with botulinum toxin A into the M. subscapularis

Abstract: Pain and dislocation rate have improved substantially.

Cited by 9 publications

References 9 publications

Shoulder pain and external rotation in spastic hemiplegia do not improve by injection of botulinum toxin A into the subscapular muscle

Shoulder pain and external rotation in spastic hemiplegia do not improve by injection of botulinum toxin A into the subscapular muscle

Treatment of scapula dyskinesia with botulin toxin: two case reports

Pectoralis Major Release to Improve Shoulder Abduction in Children With Cerebral Palsy

Contact Info

Product

Resources

About