Contracture of the Joints from Muscle Shortening

Deltoid, Quadriceps, Gluteus, Sartorius

Abstract

The cases with contracture of the joints from muscle shortening are presented in this report.
1) Six children: Extension contracture of the knee from shortening of quadriceps muscle.
a) 4 cases are operated with the method of tenotomy or Z-lengthening of rectus femoris.
b) Conservative treatment was done in a case with successful result.
2) Two cases: Abduction contracture of the shoulder from shortening of the intermediate part of the deltoid. Removal of the fibrous intermediate part of the deltoid was successful in an adult female, the other case was treated conservatively by the method with moist heat and R. O. M. Ex..
3) A case with extension contracture of the hip from shortening of gluteus maximus was also treated by removal of fibrous part in the muscle.
4) Two cases, one is the contracture of quadriceps and the other contracture of sartorius are under the consideration of surgical procedure.