Jeon In-Ho, Neumann Lars, Wallace W Angus
Nottingham Shoulder and Elbow Unit, Nottingham City Hospital, United Kingdom.
J Shoulder Elbow Surg. 2005 Jul-Aug;14(4):400-6. doi: 10.1016/j.jse.2004.09.008.
A modified technique of scapulothoracic fusion was used in 6 patients who did not have muscular dystrophy and who were later evaluated clinically. The cause of the painful winging of the scapula was traumatic disruption of the trapezius and the accessory nerve in 3 patients, injury to the brachial plexus in 2, and Sprengel's deformity in 1. To obtain fusion, double wires were passed around each of 4 ribs. A Rush pin was then contoured to fit the curvature of the scapula, and the wires were passed through the scapula and tied over the Rush pin with bone graft. The mean age of the patients was 30 years (range, 22-39 years), with a mean follow-up of 49 months. The mean increase in elevation was 18 degrees with significant pain relief. The medium-term results showed that this operation was successful in achieving stability of the scapula while improving pain and function in patients without facioscapulohumeral dystrophy.
我们对6例无肌营养不良的患者采用改良的肩胛胸壁融合技术，并在术后进行临床评估。3例患者肩胛疼痛性翼状肩胛的病因是斜方肌和副神经的创伤性断裂，2例是臂丛神经损伤，1例是Sprengel畸形。为实现融合，在4根肋骨周围分别穿过双股钢丝。然后将一根Rush针塑形以适应肩胛骨的曲度，钢丝穿过肩胛骨并在Rush针上用骨移植材料绑扎固定。患者的平均年龄为30岁（范围22 - 39岁），平均随访49个月。平均抬高增加了18度，疼痛明显缓解。中期结果表明，该手术成功实现了肩胛骨的稳定，同时改善了无面肩肱型肌营养不良患者的疼痛和功能。
