A shoulder spica cast is often required after major surgery to the shoulder. This type of cast is usually heavy and awkward. A lightweight fiberglass spica has proven to be useful after repair of the deltoid origin, repair of complete rupture of the rotator cuff, and shoulder arthrodesis. Hinges have been incorporated in the spica at the elbow and shoulder to permit maximum motion appropriate to the surgery. This cast is light and well tolerated. Elbow and shoulder stiffness is reduced by the hinges, which may be fabricated out of stock devices heretofore used in knee orthoses.
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The Efficacy of Thumb Spica Casting With or Without Corticosteroid Injection for De Quervain's Tenosynovitis.
Cureus
July 2024
Orthopaedics and Trauma, Hayatabad Medical Complex MTI, Peshawar, PAK.
Article Synopsis
- De Quervain's tenosynovitis is a common wrist condition caused by repetitive thumb use, typically treated with conservative methods, corticosteroid injections, or surgery.
- A study tested the effectiveness of combining thumb spica casting with corticosteroid injection versus using casting alone in adults aged 18-50, focusing on treatment success and pain reduction.
- Results showed that the combination treatment (Group A) had a significantly higher success rate and greater pain relief compared to casting alone (Group B), supporting its use for better functional outcomes without serious side effects.
Case report: Nonsimultaneous bilateral triceps tendon rupture and surgical repair in a healthy dog.
Front Vet Sci
January 2024
Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA, United States.
A 7-year-old female spayed Australian shepherd dog was presented for an acute onset of inability to stand. On physical examination, the dog was unable to support weight on the thoracic limbs. On neurological examination, the thoracic limbs had absent hopping and paw placement and reduced withdrawal reflexes bilaterally.
View Article and Find Full Text PDFManagement of de Quervain Tenosynovitis: A Systematic Review and Network Meta-Analysis.
JAMA Netw Open
October 2023
School of Infection and Immunity, College of Medicine, Veterinary and Life Sciences, University of Glasgow, Glasgow, Scotland.
Importance: There is a plethora of treatment options for patients with de Quervain tenosynovitis (DQT), but there are limited data on their effectiveness and no definitive management guidelines.
Objective: To assess and compare the effectiveness associated with available treatment options for DQT to guide musculoskeletal practitioners and inform guidelines.
Data Sources: Medline, Embase, PubMed, Cochrane Central, Scopus, OpenGrey.
Latissimus dorsi tendon transfer to restore shoulder abduction in patients with deltoid paralysis: A novel technique.
Shoulder Elbow
February 2023
Hand and Microsurgery Unit, Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Cairo, Egypt.
Background: Shoulder abduction is an essential movement for placement of the hand in space and thus for upper limb function. The objective of this study was to introduce and test the effectiveness of a new technique of latissimus dorsi tendon transfer to deltoid insertion to restore shoulder abduction.
Methods: We prospectively included 10 male patients with a lost deltoid function.
Novel Use of a Shoulder Spica: Treatment for Midshaft Humerus Fracture in the Presence of Limb Deficiency.
Cureus
November 2022
Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, USA.
Pediatric midshaft humerus fractures are typically managed with a hanging arm cast, Sarmiento bracing, coaptation splint, or a combination of these treatment options. Here we report a novel use of a shoulder spica cast in the treatment of a midshaft humerus fracture in the presence of limb deficiency. Current treatments proved unsuccessful in maintaining adequate alignment, specifically the varus deformity of the fracture.
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