Erbs Palsy/Brachial Plexus Injury - Pediatric
Clinical Problem: Injury causes muscle imbalance
leading to flexor-pronator posture and loss of
active supination
Ultraflex Solution: Custom Molded EWHO
(dynamic elbow, and wrist-hand, free fingers, adjustable forearm rotation option available that can also be used as an EO or WHO separately)
Clinical Goal: Maintain and restore full passive elbow, wrist extension, and full supination while nerve regenerates.
Evaluation/Casting: Initial casting limb posture - finger, wrist and elbow flexed and forearm in maximum pronation for solid design, any forearm angle for rotation option. Cast segmentally distal to proximal. First flex MPs and straighten fingers and cast, then cast opposed thumb in partial abduction isolating maximum web space and to achieve a good palmar arch, cross and cast flexed wrist, then correct forearm to maximum supination for solid design only (keeping elbow flexed to use all muscle “slack” to achieve maximum supination); continue casting to axilla. Forearm rotation design can be cast in any pronation or supination position. Read more on Casting Considerations.
Evaluation/Ordering Information: Clinical and technical support: (800) 220 6670
Fax: (610) 906-1420, info@ultraflexsystems.com
Ordering Information:
Components Only
Pediatric:< 25 kg (no donning lock desired)
Extension Assist
Lateral Joint EO PC1 (Left or Right)
Medial Joint EO P ROM
Adolescent:
Extension Assist
Joints EO SS1 (Lateral side)
Power Unit EO P# depending on patient weight (P1>50 kg, P3>25 kg, P5 <25 kg) (Lateral side)
Medial Joint EO P ROM
Ultraflex Custom Fabrication:
Above listed components and EWHO CM2 (Measurement Form) |
