Shoulder adduction contracture after burn: Anatomy and treatment with quadrangular local scar subcutaneous pedicled flap, a new approach

Total shoulder adduction contractures have two forms: (a) shoulder close/fused with the chest wall; and (b) along the chest wall and shoulder there is a flat surface, the tissue of which can be used for reconstruction in a form of scar subcutaneous pedicled quadrangular flap. Based on this flap, a new technique is described which is relatively easy to perform.