Hello everyone,
I am asking for any suggestions regarding an interesting case that has been referred to me. Outlined below is the information available to me at this stage.
I would be grateful for any suggestions and will post the results.
Case description:
A lady in her 60’s has loss of the proximal half of her humerus and progressive loss of active shoulder movement (now almost non existent power). She is currently seeing neurosurgeons and orthopaedics though is not a suitable candidate for surgery. Meanwhile, the aim is to regain use of her arm in positions of shoulder flexion and abduction. By this, I envisage flexing or abducting the arm to a locked position, whereby she can then use her elbow and hand for domestic and other duties. With the shoulder secure, she has strong power of her elbow/wrist/hand.
A modified DONJOY arm abduction orthosis (without forearm section) has been trialed. This was of some success, though was difficult to self don and somewhat bulky. The patient found it difficult to manage as she lives alone.
I am slightly perplexed as to other management approaches. I am trying to find a multi adjustment and locking shoulder orthosis, as preference to an abduction pillow.
Your experience or ideas would be appreciated greatly,
Coralie Hadingham
Orthotist/Prosthetist
Adelaide, Australia
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