用于治疗产瘫性臂丛神经麻痹患儿复杂肩关节半脱位和脱位的关节成形术

Glenoplasty for complex shoulder subluxation and dislocation in children with obstetric brachial plexus palsy.

作者信息

Di Mascio L, Chin K-F, Fox M, Sinisi M

机构信息

Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore HA7 4LP, UK.

出版信息

J Bone Joint Surg Br. 2011 Jan;93(1):102-7. doi: 10.1302/0301-620X.93B1.25051.

DOI:10.1302/0301-620X.93B1.25051

PMID:21196552

Abstract

We describe the early results of glenoplasty as part of the technique of operative reduction of posterior dislocation of the shoulder in 29 children with obstetric brachial plexus palsy. The mean age at operation was five years (1 to 18) and they were followed up for a mean of 34 months (12 to 67). The mean Mallet score increased from 8 (5 to 13) to 12 (8 to 15) at final follow-up (p < 0.001). The mean passive forward flexion was increased by 18° (p = 0.017) and the mean passive abduction by 24° (p = 0.001). The mean passive lateral rotation also increased by 54° (p < 0.001), but passive medial rotation was reduced by a mean of only 7°. One patient required two further operations. Glenohumeral stability was achieved in all cases.

摘要

我们描述了关节盂成形术的早期结果，该手术是29例产瘫性臂丛神经麻痹患儿肩关节后脱位手术复位技术的一部分。手术时的平均年龄为5岁（1至18岁），平均随访34个月（12至67个月）。末次随访时，平均Mallet评分从8分（5至13分）提高到12分（8至15分）（p<0.001）。平均被动前屈增加了18°（p = 0.017），平均被动外展增加了24°（p = 0.001）。平均被动外旋也增加了54°（p<0.001），但被动内旋平均仅减少了7°。1例患者需要再次进行两次手术。所有病例均实现了盂肱关节稳定。