A Method of Shoulder Spica Cast Application In Shoulder Muscle Transfer Patients In Supine Position
Background Children with birth brachial plexus injury (BBPI) often require secondary surgery for the shoulder. The shoulder spica is necessary after shoulder muscle transfer surgery in babies with BBPI. However, its application can be difficult in the supine position under anesthesia. The authors de...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2020-03-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708582 |
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| author | Harsh R. Shah Praweshi Singh Bhandari Mayur Goklani Mukund R Thatte |
| author_facet | Harsh R. Shah Praweshi Singh Bhandari Mayur Goklani Mukund R Thatte |
| author_sort | Harsh R. Shah |
| collection | DOAJ |
| description | Background Children with birth brachial plexus injury (BBPI) often require secondary surgery for the shoulder. The shoulder spica is necessary after shoulder muscle transfer surgery in babies with BBPI. However, its application can be difficult in the supine position under anesthesia. The authors describe a simple and cost-effective method of applying the shoulder spica cast without changing the supine position under anesthesia.
Technique While still under anesthesia, the child is placed in a supine position and then elevated on the wooden bar. The POP roll is wrapped around in a cylindrical manner, starting from the level one inch above the anterior superior iliac spine. The contralateral shoulder is also incorporated into the cast.
Conclusion The spica application technique described comprises commonly available materials, such as a wooden plank, pair of bolsters, plaster of Paris rolls, and dressing materials overcoming the need for customized apparatus or the operation table. The materials are easy to assemble and thereby applicable just about anywhere. The task also becomes less challenging for the anesthetic in the supine position. This technique is easily reproducible and cost-effective. |
| format | Article |
| id | doaj-art-3f356af33d6a42eeb80a703ee9799bbf |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2020-03-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-3f356af33d6a42eeb80a703ee9799bbf2025-08-20T02:16:33ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2020-03-01530111211810.1055/s-0040-1708582A Method of Shoulder Spica Cast Application In Shoulder Muscle Transfer Patients In Supine PositionHarsh R. Shah0Praweshi Singh Bhandari1Mayur Goklani2Mukund R Thatte3Department of Plastic Surgery, Bombay Hospital and Institute of Medical Sciences, Mumbai, IndiaDepartment of Orthopaedics and Trauma Surgery, Tribhuvan University Teaching Hospital, NepalDepartment of Plastic Surgery, Bombay Hospital and Institute of Medical Sciences, Mumbai, IndiaDepartment of Plastic Surgery, Bombay Hospital and Institute of Medical Sciences, Mumbai, IndiaBackground Children with birth brachial plexus injury (BBPI) often require secondary surgery for the shoulder. The shoulder spica is necessary after shoulder muscle transfer surgery in babies with BBPI. However, its application can be difficult in the supine position under anesthesia. The authors describe a simple and cost-effective method of applying the shoulder spica cast without changing the supine position under anesthesia. Technique While still under anesthesia, the child is placed in a supine position and then elevated on the wooden bar. The POP roll is wrapped around in a cylindrical manner, starting from the level one inch above the anterior superior iliac spine. The contralateral shoulder is also incorporated into the cast. Conclusion The spica application technique described comprises commonly available materials, such as a wooden plank, pair of bolsters, plaster of Paris rolls, and dressing materials overcoming the need for customized apparatus or the operation table. The materials are easy to assemble and thereby applicable just about anywhere. The task also becomes less challenging for the anesthetic in the supine position. This technique is easily reproducible and cost-effective.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708582birth brachial plexus palsyshoulder muscle transfershoulder spica cast |
| spellingShingle | Harsh R. Shah Praweshi Singh Bhandari Mayur Goklani Mukund R Thatte A Method of Shoulder Spica Cast Application In Shoulder Muscle Transfer Patients In Supine Position Indian Journal of Plastic Surgery birth brachial plexus palsy shoulder muscle transfer shoulder spica cast |
| title | A Method of Shoulder Spica Cast Application In Shoulder Muscle Transfer Patients In Supine Position |
| title_full | A Method of Shoulder Spica Cast Application In Shoulder Muscle Transfer Patients In Supine Position |
| title_fullStr | A Method of Shoulder Spica Cast Application In Shoulder Muscle Transfer Patients In Supine Position |
| title_full_unstemmed | A Method of Shoulder Spica Cast Application In Shoulder Muscle Transfer Patients In Supine Position |
| title_short | A Method of Shoulder Spica Cast Application In Shoulder Muscle Transfer Patients In Supine Position |
| title_sort | method of shoulder spica cast application in shoulder muscle transfer patients in supine position |
| topic | birth brachial plexus palsy shoulder muscle transfer shoulder spica cast |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1708582 |
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