Zlotolow Dan A, Kozin Scott H
Temple University School of Medicine, Shriners Hospital for Children, Philadelphia, PA, USA.
J Hand Surg Am. 2012 May;37(5):1078-82. doi: 10.1016/j.jhsa.2012.02.032. Epub 2012 Apr 5.
Children with arthrogryposis often lack the ability to feed themselves, largely due to limited shoulder external rotation and elbow flexion. Patients who can achieve passive elbow flexion through a surgical release but who cannot externally rotate their shoulders are still unable to reach their mouths with their hands. Combining a posterior elbow capsular release with a simultaneous humeral osteotomy in these patients places the forearm and hand in a much better position for function with minimal additional surgical exposure.
患有先天性多发性关节挛缩症的儿童通常缺乏自主进食能力，这主要是由于肩部外旋和肘部屈曲受限。那些通过手术松解能够实现被动肘部屈曲，但肩部无法外旋的患者，其手部仍然无法触及自己的嘴巴。对于这些患者，将肘部后关节囊松解与肱骨截骨术同时进行，可使前臂和手处于更有利于发挥功能的位置，且手术额外暴露最小。
