A Novel Treatment for a Rare Injury: Pediatric Massive Intrasubstance Rotator Cuff and Periscapular Muscle Tears Treated with a Custom Brace: A Case Report

A 9-year-old boy sustained intrasubstance tears of the rotator cuff and periscapular muscles due to a fall, resulting in scapular winging and severely decreased shoulder range of motion. Treatment consisted of a modified thoracolumbosacral orthosis (TLSO) with a shoulder immobilizer attachment (to r...

Full description

Saved in:
Bibliographic Details
Published inJBJS case connector Vol. 8; no. 1; p. e14
Main Authors Lewis, Molly K, Ramos-Williams, Omar, Syed, Hasan M, Gregorius, Theodore K
Format Journal Article
LanguageEnglish
Published United States 01.03.2018
Online AccessGet more information

Cover

More Information
Summary:A 9-year-old boy sustained intrasubstance tears of the rotator cuff and periscapular muscles due to a fall, resulting in scapular winging and severely decreased shoulder range of motion. Treatment consisted of a modified thoracolumbosacral orthosis (TLSO) with a shoulder immobilizer attachment (to reduce the scapula to the thoracic wall and hold the arm in 10° of abduction). The brace was worn for 8 weeks. The patient recovered full, pain-free shoulder function and range of motion, and returned to high-level athletics. Pediatric massive intrasubstance rotator cuff and periscapular muscle tears can be treated nonoperatively with use of a modified TLSO.
ISSN:2160-3251
DOI:10.2106/JBJS.CC.17.00122