axillary contracture
Scar-mediated restriction of shoulder movement following burns to the axilla and surrounding areas.
Full Definition
Axillary contracture is a specific type of burn scar contracture that develops following deep burns involving the axilla, chest wall, and/or upper arm regions. The contracture typically results in adduction and internal rotation of the shoulder with limitation of abduction and external rotation. This can significantly impact functional activities including reaching, dressing, and hygiene. Prevention involves aggressive range of motion exercises, proper positioning, and pressure garment therapy. Treatment may require serial releases, skin grafting, flap reconstruction, or tissue expansion depending on the severity and functional impact. The axilla is particularly prone to contracture due to its concave anatomy and the tendency for healing tissues to contract along lines of tension.
Usage
Usage note: Specify anatomical location to distinguish from contractures in other body regions.
In Context
- "Severe axillary contracture limited shoulder abduction to 45 degrees following deep burns to the chest and arm." — Physical therapy evaluation
- "Surgical release of the axillary contracture improved functional range of motion from 30 to 150 degrees of abduction." — Reconstructive surgery follow-up