Dear List,
Regards!!
Well again confused with a special and interesting case: Age: 18month, Sex: Female, Left congenital humeral deficiency partial (only a part of humeral head can be seen in the glenoid cavity, no elbow unit, lower part of the extremity both radius & ulna and all the Cs, MCs & phalanges are present with good condition). Pt. has got good griping strength. No nerve involvement.
The first thought that came into my mind was a simple static trilateral sling. But, keeping in mind the developmental stage and the gripping ability, I am now planning for a splint that will start with a shoulder cap and chest strap and hold the forearm into a fixed flexion attitude so that hand movements would be possible and gravity would be eliminated caused by the lower part. I am confused with the shoulder section (shoulder abduction angle) due to the presence of the humeral head, I need to know what type of splint can be beneficial for her, so that it can provide the best biomechanical advantage to the remaining muscles of the forearm to carry out there functions??
Simplicity always wins!!
I will post the replies.
Thank You
Suman Kumar Panda
Resident, B.P.O.,
SVNIRTAR,
India
Phone: +919437856918
www.rehabeasy.blogspot.com
