Mears D C
University of Pittsburgh Medical Center, Pennsylvania, USA.
J Pediatr Orthop. 2001 Mar-Apr;21(2):242-5.
Previous surgical methods to address Sprengel's deformity by an attempted relocation of the scapula have achieved a limited functional improvement. A novel method was devised that includes a partial scapular resection, a removal of any omovertebral communication, and a release of the long head of triceps from the scapula. The results of eight cases are presented in which this method was used on 5 males and 3 females patients (age range, 19 months to 9 years). Early postoperative, active-assisted motion exercises for the patients were encouraged. On average, flexion improved from 100 degrees to 175 degrees and abduction improved from 90 degrees to 150 degrees. In one patient, a second operation was performed to remove an exostosis that followed the primary procedure. Initially, two keloid scars followed the use of a curvilinear incision. However, subsequently, this problem was eliminated by the use of a transverse incision. The new method seems to provide highly favorable functional and cosmetic results with a low morbidity.
以往通过尝试重新定位肩胛骨来治疗先天性高肩胛症的手术方法，其功能改善有限。我们设计了一种新方法，包括部分肩胛骨切除术、切断所有肩胛提肌附着、并从肩胛骨上松解肱三头肌长头。本文报告了8例采用该方法治疗的病例，其中男性5例，女性3例（年龄范围为19个月至9岁）。术后早期鼓励患者进行主动辅助运动锻炼。平均而言，屈曲从100度提高到175度，外展从90度提高到150度。有1例患者在初次手术后进行了第二次手术，以切除骨痂。最初，采用曲线切口留下了两条瘢痕疙瘩。然而，随后采用横向切口解决了这个问题。新方法似乎能提供非常好的功能和美容效果，且发病率较低。
