Contractures
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Top Contributors - Sehriban Ozmen, Habibu Salisu Badamasi and Pacifique Dusabeyezu
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Introduction[edit | edit source]
Contractures are generally myogenic and can mimic cramps. Often described by patients as exertional muscle stiffness or muscle cramping after arbitrary movement such as lifting heavy objects for more than a few seconds or after repetitive movements. Stretching the affected muscle during a contracture does not provide relief, and contractures generally last longer than muscle cramps. Painful contractures are prominent in metabolic myopathies such as McArdle disease, glycogenosis type V.[1] [2]
Muscle Contracture[edit | edit source]
Muscle contractures are defined as shortenings of the muscle resulting in an inability of the muscle to relax normally,[1] in extreme cases, joint deformation. [3]
It can occur for various reasons including:
- Upper motor neuron lesions, such as stroke, head injury, or cerebral palsy (CP)
- Muscle disease, such as spinal muscular atrophy or muscular dystrophy
Capsular Contracture[edit | edit source]
Capsular contracture is a complication of implant surgery, characterized by the development of fibrosis between the implant and tissue. It occurs because of the body's inflammatory response to the foreign object. [4]
Contracture Management[edit | edit source]
Resources[edit | edit source]
- Dupuytren’s Contracture
- Volkmann's Contracture
- Contracture Management in Spinal Cord Injury
- Contracture Management for Traumatic Brain Injury
- Principles of Biomechanics in Hip Flexion Contracture
References[edit | edit source]
- ↑ 1.0 1.1 Dijkstra JN, Boon E, Kruijt N, Brusse E, Ramdas S, Jungbluth H, van Engelen BG, Walters J, Voermans NC. Muscle cramps and contractures: causes and treatment. Practical Neurology. 2023 Feb 1;23(1):23-34.
- ↑ Berardo A, DiMauro S, Hirano M. A diagnostic algorithm for metabolic myopathies. Current neurology and neuroscience reports. 2010 Mar;10:118-26.
- ↑ Lieber RL, Fridén J. Muscle contracture and passive mechanics in cerebral palsy. Journal of applied physiology. 2019 May 16.
- ↑ Sood A, Xue EY, Sangiovanni C, Therattil PJ, Lee ES. Breast massage, implant displacement, and prevention of capsular contracture after breast augmentation with implants: a review of the literature. Eplasty. 2017;17.
