Importance of the Wrist Extensor Muscle Training: Two Cases of Elbow Flexorplasty following Traumatic Brachial Plexus Injuries

The modified Steindler procedure—a reconstructive surgery used to restore elbow flexion following upper brachial plexus injuries—involves shifting the origins of the muscle groups responsible for wrist flexion and forearm pronation originating from the medial epicondyle to the proximal direction to...

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Main Authors: Shigeki Kubota, Tadashi Kubo, Hiromi Kameda, Yoshiyasu Itoh
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/4691796
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author Shigeki Kubota
Tadashi Kubo
Hiromi Kameda
Yoshiyasu Itoh
author_facet Shigeki Kubota
Tadashi Kubo
Hiromi Kameda
Yoshiyasu Itoh
author_sort Shigeki Kubota
collection DOAJ
description The modified Steindler procedure—a reconstructive surgery used to restore elbow flexion following upper brachial plexus injuries—involves shifting the origins of the muscle groups responsible for wrist flexion and forearm pronation originating from the medial epicondyle to the proximal direction to be used as flexors of the elbow. In the postoperative rehabilitation, we focused on strengthening not only the transferred muscle but also the wrist extensor muscles as antagonist muscles. After reconstruction surgery for elbow flexion via the modified Steindler procedure for traumatic brachial plexus injury, we performed long-term rehabilitation to strengthen the antagonist muscles. As a result, in two cases, excellent elbow flexion strength and gripping strength were achieved, confirming the importance of the antagonist muscles.
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publishDate 2018-01-01
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series Case Reports in Orthopedics
spelling doaj-art-a58afd2e308942c18231cfe58995e6372025-02-03T01:03:12ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/46917964691796Importance of the Wrist Extensor Muscle Training: Two Cases of Elbow Flexorplasty following Traumatic Brachial Plexus InjuriesShigeki Kubota0Tadashi Kubo1Hiromi Kameda2Yoshiyasu Itoh3Department of Rehabilitation Medicine, Keiyu Orthopaedic Hospital, 1741 Hanetsuku, Tatebayashi, Gunma 374-0011, JapanDepartment of Rehabilitation Medicine, Keiyu Orthopaedic Hospital, 1741 Hanetsuku, Tatebayashi, Gunma 374-0011, JapanDepartment of Rehabilitation Medicine, Keiyu Orthopaedic Hospital, 1741 Hanetsuku, Tatebayashi, Gunma 374-0011, JapanDepartment of Orthopaedic Surgery, Keiyu Orthopaedic Hospital, 1741 Hanetsuku, Tatebayashi, Gunma 374-0011, JapanThe modified Steindler procedure—a reconstructive surgery used to restore elbow flexion following upper brachial plexus injuries—involves shifting the origins of the muscle groups responsible for wrist flexion and forearm pronation originating from the medial epicondyle to the proximal direction to be used as flexors of the elbow. In the postoperative rehabilitation, we focused on strengthening not only the transferred muscle but also the wrist extensor muscles as antagonist muscles. After reconstruction surgery for elbow flexion via the modified Steindler procedure for traumatic brachial plexus injury, we performed long-term rehabilitation to strengthen the antagonist muscles. As a result, in two cases, excellent elbow flexion strength and gripping strength were achieved, confirming the importance of the antagonist muscles.http://dx.doi.org/10.1155/2018/4691796
spellingShingle Shigeki Kubota
Tadashi Kubo
Hiromi Kameda
Yoshiyasu Itoh
Importance of the Wrist Extensor Muscle Training: Two Cases of Elbow Flexorplasty following Traumatic Brachial Plexus Injuries
Case Reports in Orthopedics
title Importance of the Wrist Extensor Muscle Training: Two Cases of Elbow Flexorplasty following Traumatic Brachial Plexus Injuries
title_full Importance of the Wrist Extensor Muscle Training: Two Cases of Elbow Flexorplasty following Traumatic Brachial Plexus Injuries
title_fullStr Importance of the Wrist Extensor Muscle Training: Two Cases of Elbow Flexorplasty following Traumatic Brachial Plexus Injuries
title_full_unstemmed Importance of the Wrist Extensor Muscle Training: Two Cases of Elbow Flexorplasty following Traumatic Brachial Plexus Injuries
title_short Importance of the Wrist Extensor Muscle Training: Two Cases of Elbow Flexorplasty following Traumatic Brachial Plexus Injuries
title_sort importance of the wrist extensor muscle training two cases of elbow flexorplasty following traumatic brachial plexus injuries
url http://dx.doi.org/10.1155/2018/4691796
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