van der Sluijs Johannes A, van Ouwerkerk Willem J R, de Gast Arthur, Nollet Frans, Winters Hay, Wuisman Paul I J M
Department of Orthopaedic Surgery, Vrije University Medical Centre, Postbus 70-57, 1007 MB Amsterdam, The Netherlands.
J Pediatr Orthop B. 2004 May;13(3):218-24. doi: 10.1097/00009957-200405000-00015.
In this prospective study of 19 consecutive children, the operative treatment of internal rotation contracture of the shoulder in obstetric brachial plexus lesions by subscapular tendon lengthening and open reduction of the humeral head is evaluated. The average age of the children was 3.7 years and average follow-up was 20 months. Active shoulder function, as measured by the Mallet score, improved significantly in the dimensions of external rotation, hand-mouth movement and hand-neck movement. However, eight of the 19 children developed a severe, functionally disturbing external rotation contracture of the shoulder. This contracture was found predominantly in children who had a lower preoperative Mallet score for abduction and hand-back movement.
在这项对19名连续儿童的前瞻性研究中，评估了通过肩胛下肌腱延长术和肱骨头切开复位术治疗产科臂丛神经损伤所致肩部内旋挛缩的手术效果。这些儿童的平均年龄为3.7岁，平均随访时间为20个月。通过马利特评分衡量的主动肩部功能，在外旋、手到口运动和手到颈运动方面有显著改善。然而，19名儿童中有8名出现了严重的、影响功能的肩部外旋挛缩。这种挛缩主要出现在术前外展和手向后运动的马利特评分较低的儿童中。
