Kasser J, Upton J
Harvard Medical School, Boston, Massachusetts.
Clin Plast Surg. 1991 Apr;18(2):381-9.
Clinical and radiographic follow-up study of the elbow and shoulder in 19 children and adults with Apert syndrome demonstrates that these two joints are affected to varying degrees. Shoulder motion is never normal and may be quite restricted, with the progression of growth abnormalities of the proximal humerus and accompanying glenoid dysplasia. Limitation of abduction is secondary to an impingement of an overgrown greater tuberosity upon the acromion. Clinically, these children appear to have anterior subluxations. Elbow motion is limited in a much smaller percentage of patients and was not a significant problem unless elbow fusion occurred. A radiocapitellar dysplasia was associated with a mean 30-degree extension loss in 7 of 19 patients. Two patients had no elbow motion.
对19名患有Apert综合征的儿童和成人的肘部和肩部进行的临床和影像学随访研究表明，这两个关节受到不同程度的影响。肩部运动从未正常过，而且可能受到很大限制，随着肱骨近端生长异常以及伴随的关节盂发育不良的进展而加重。外展受限是由于增大的大结节撞击肩峰所致。临床上，这些儿童似乎存在前半脱位。肘部运动受限的患者比例要小得多，除非发生肘关节融合，否则这不是一个严重问题。19名患者中有7名桡骨头发育不良与平均30度的伸展丧失有关。两名患者没有肘部活动。
