Letournel E, Fardeau M, Lytle J O, Serrault M, Gosselin R A
Department of Orthopaedic and Trauma Surgery, Centre Médico-Chirurgical de la Porte de Choisy, Paris, France.
J Bone Joint Surg Am. 1990 Jan;72(1):78-84.
In nine patients who had fascioscapulohumeral muscular dystrophy, thoracoscapular arthrodesis was done for the treatment of symptomatic winging of the scapula. The objective was to improve the use of the upper extremity in the performance of activities of daily living. Seven patients had a bilateral procedure. The active range of motion of the shoulder improved in all patients, with flexion increasing an average of 33 degrees and abduction, 25 degrees. Complications included pneumothorax, pleural effusion, atelectasis, fracture of the scapula, and pseudarthrosis. The length of follow-up averaged sixty-nine months, and the results did not deteriorate with time.
在9例患有面肩肱型肌营养不良症的患者中，为治疗有症状的肩胛骨翼状肩胛进行了胸肩胛关节固定术。目的是改善上肢在日常生活活动中的使用情况。7例患者接受了双侧手术。所有患者肩部的主动活动范围均有改善，前屈平均增加33度，外展增加25度。并发症包括气胸、胸腔积液、肺不张、肩胛骨骨折和假关节形成。随访时间平均为69个月，结果并未随时间恶化。
