Shoulder edge anterior adduction contracture in pediatric patients after burns: anatomy and treatment. A new approach

Grishkevich, V. M; Grishkevich, M; Menzul, V.
Burns Open, July 2018, Volume 2, Issue 3, Pages 130-138

Burns of anterior shoulder joint surface and neighboring areas produce shoulder edge adduction contracture and scar deformity, slowing down the development of upper limbs in pediatric patients. Therefore, surgical reconstruction is indicated as early as the contracture is formed. Currently used surgical techniques, based on counter transposition of the local triangular flaps and skin transplants, do not solve the problem because of incomplete release of the contractures. Repeated operations are often performed. The scar deformity also remains.