Vallejo G Ivan, Toh Satoshi, Arai Hisamichi, Arai Kouichi, Harata Seiko
Department of Orthopaedic Surgery, Hirosaki University School of Medicine, Hirosaki, Japan.
Scand J Plast Reconstr Surg Hand Surg. 2002;36(4):207-11. doi: 10.1080/02844310260259860.
Brachial plexus palsy at birth remains a serious problem. Although most cases resolve during the first few months by spontaneous regeneration, several operations have been used to correct the residual deformity. In the present study we describe the results of the latissimus dorsi and teres major tendons transfer on to the rotator cuff to improve shoulder function. Six patients were included in the study: three girls and three boys; four right shoulders, and two left. The types of palsy were four Erb's palsy (C5, C6) and two C5-C7 palsy. The median age at the time of operation was 11 years and 1 month and the median follow-up period was 54.2 months. Median preoperative passive external rotation was 51 degrees, and active abduction 67 degrees. Median postoperative active external rotation was 72 degrees, and postoperative active abduction 109 degrees. This procedure increased the ranges of external rotation and abduction, and provided considerable improvement in shoulder function.
出生时的臂丛神经麻痹仍然是一个严重的问题。尽管大多数病例在最初几个月通过自发再生得以恢复，但仍有几种手术被用于矫正残留畸形。在本研究中，我们描述了背阔肌和大圆肌腱转移至肩袖以改善肩部功能的结果。该研究纳入了6例患者：3名女孩和3名男孩；4例右侧肩部，2例左侧肩部。麻痹类型为4例Erb麻痹（C5、C6）和2例C5 - C7麻痹。手术时的中位年龄为11岁1个月，中位随访期为54.2个月。术前被动外旋的中位值为51度，主动外展为67度。术后主动外旋的中位值为72度，术后主动外展为109度。该手术增加了外旋和外展的范围，并在肩部功能方面提供了显著改善。
