A 18 years old woman after car accident –  brain injury, quadruparesis,  the left upper arm: severe flexion contracture in the elbow and in the wrist

 

A year after reconstruction elbow extension (release flexion contracture) and the grip reconstruction

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A 31years-old woman after brain surgery 20 years ago

The left hand function before surgery

 

The range of motion before

 

The result one year after surgery

 

The stabile result four years after reconstruction

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A 47 years old woman – car accident – comatose for 11 months – quadruparesis

Severe upper arm deformities – painful, no grasp, minimal range of motion

 

finger extension                                          finger flexion

 

 

 

 

The right hand mostly in the rest position – extreme wrist flexion – painful

 

 

 

The left hand grasp with severe wrist flexion and claw finger deformity

 

 

 

The first surgery – release elbow flexion contracture.

Better range of motion 9 month after surgery

 

The second surgery – just on soft tissues

Better wrist position, grasp is possible, no pain – 6 weeks after surgery

 

The finger stiffeness on the left hand

Better finfers position and grasp 3 months after surgery

 

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A 50-years old man with left handspasticity after brainstroke – 35 years ago – it means in his age of 15

No function  of his left hand

The range of motion before surgery

 

One year after the first stage – release of the elbow flexion contracture

The range of motion is better in the elbow, distally as well as in the shoulder

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