Anderson Kurt A, O'Dell Mary Ann, James Michelle A
Department of Orthopaedic Surgery, University of California, Davis School of Medicine, USA.
Tech Hand Up Extrem Surg. 2006 Jun;10(2):60-7. doi: 10.1097/00130911-200606000-00002.
Children with brachial plexus birth palsy may have permanent loss of shoulder external rotation strength. This impairment may result to a difficulty in reaching the face and head with the affected hand for grooming activities, and in reaching overhead for participation in sports or work-related tasks. In addition, the contracture that results from unopposed internal rotation may further restrict range of motion and cause glenohumeral joint deformity and subluxation.A combination of muscle release and transfers reliably improves the child's ability to position the hand, and may halt the development of joint deformity. Postoperative rehabilitation is necessary to maximize the strength and range of motion obtained from this operation.
患有臂丛神经产瘫的儿童可能会永久性丧失肩部外旋力量。这种损伤可能导致患手难以够到面部和头部进行梳理活动，也难以举过头顶参与体育或与工作相关的任务。此外，由于内旋不受对抗而导致的挛缩可能会进一步限制活动范围，并导致盂肱关节畸形和半脱位。肌肉松解和转移相结合能够可靠地提高患儿对手部进行定位的能力，并可能阻止关节畸形的发展。术后康复对于最大限度地增强手术获得的力量和扩大活动范围是必要的。
