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Current Concepts to Muscle-Based Procedures to Treat Upper Limb Spasticity: Shoulder and Elbow Deformities
Trina Stephens1, Peter Charles Rhee2
1Division of Plastic Surgery, Department of Surgery, University of British Columbia, 2775 Laurel Street, Vancouver, BC V5Z 1M9, Canada.
None:
Muscle-based procedures have been the mainstay of surgical treatment of spastic upper limb deformities, in particular when muscle contractures are a main contributor to the deformity. The type of muscle-based procedures that are utilized to correct a spastic deformity is dependent upon the presence of volitional motor activation and the magnitude of muscle contracture. These procedures can markedly improve patient's quality of life and enhance upper limb function. However, comprehensive multidisciplinary care and establishment of shared patient-physician or caretaker-physician decision-making is integral to successful surgical outcomes.
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