Napiontek M, Ruszkowski K
Kliniki Ortopedii Dzieciecej Instytutu Ortopedii i Rehabilitacji AM w Poznaniu.
Chir Narzadow Ruchu Ortop Pol. 1991;56(4-6):126-8.
Six children with paralytic drop foot, which developed after intramuscular injections and who had co-existing gluteal fibrosis are presented in this study. Paralytic drop foot was diagnosed on an average of 5.5 months after intra-gluteal injections. This was the major therapeutic problem. The diagnosis of gluteal fibrosis was made on an average only 3 years and 7 months later. In 3 cases the external rotation and abduction contracture of the extremity in the hip joint, caused by gluteal fibrosis, with active plantar flexors and supinators of the foot could contribute to the recurrence of the equinovarus deformity of the surgically corrected foot.
本研究报告了6例因肌肉注射后出现麻痹性足下垂且伴有臀肌纤维化的儿童病例。麻痹性足下垂平均在臀肌内注射后5.5个月被诊断出来。这是主要的治疗难题。臀肌纤维化平均在3年7个月后才被诊断出来。在3例病例中，臀肌纤维化导致髋关节处肢体的外旋和外展挛缩，而足部存在主动跖屈肌和旋后肌，这可能导致手术矫正后的足部马蹄内翻畸形复发。
