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J Hand Surg Am. 2011 Aug;36(8):1360-9. doi: 10.1016/j.jhsa.2011.05.018.
2
Arthroscopically assisted Sever-L'Episcopo procedure improves clinical and radiographic outcomes in neonatal brachial plexus palsy patients.关节镜辅助下的Sever-L'Episcopo手术可改善新生儿臂丛神经麻痹患者的临床和影像学结果。
J Pediatr Orthop. 2011 Apr-May;31(3):341-51. doi: 10.1097/BPO.0b013e31820cada8.
3
EMG and MRI are independently related to shoulder external rotation function in neonatal brachial plexus palsy.肌电图(EMG)和磁共振成像(MRI)与新生儿臂丛神经麻痹的肩部外旋功能独立相关。
J Pediatr Orthop. 2011 Mar;31(2):194-204. doi: 10.1097/BPO.0b013e3182092892.
4
Glenoplasty for complex shoulder subluxation and dislocation in children with obstetric brachial plexus palsy.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
J Bone Joint Surg Br. 2011 Jan;93(1):102-7. doi: 10.1302/0301-620X.93B1.25051.
5
Reconstruction of shoulder abduction and external rotation with latissimus dorsi and teres major transfer in obstetric brachial plexus palsy.在产瘫性臂丛神经麻痹中采用背阔肌和大圆肌移位重建肩关节外展和外旋功能
Acta Orthop Traumatol Turc. 2010;44(3):186-93. doi: 10.3944/AOTT.2010.2332.
6
Onabotulinum toxinA injection as an adjunct in the treatment of posterior shoulder subluxation in neonatal brachial plexus palsy.A型肉毒毒素注射作为治疗新生儿臂丛神经麻痹后肩半脱位的辅助手段。
J Bone Joint Surg Am. 2010 Sep 15;92(12):2171-7. doi: 10.2106/JBJS.I.00499.
7
Our experience with secondary reconstruction of external rotation in obstetrical brachial plexus palsy.我们在产科臂丛神经麻痹中对外旋肌继发性重建的经验。
Plast Reconstr Surg. 2010 Sep;126(3):951-963. doi: 10.1097/PRS.0b013e3181e603d3.
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Shoulder function after medial approach and derotational humeral osteotomy in patients with brachial plexus birth palsy.臂丛神经产瘫患者采用内侧入路及肱骨旋转截骨术后的肩部功能
J Pediatr Orthop. 2010 Jul-Aug;30(5):469-74. doi: 10.1097/BPO.0b013e3181df8604.
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Structural changes in muscle and glenohumeral joint deformity in neonatal brachial plexus palsy.新生儿臂丛神经麻痹中肌肉和盂肱关节畸形的结构变化。
J Bone Joint Surg Am. 2010 Apr;92(4):935-42. doi: 10.2106/JBJS.I.00193.
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Secondary gleno-humeral joint dysplasia in children with persistent obstetric brachial plexus palsy.儿童持续性产伤性臂丛神经麻痹的盂肱关节二次发育不良。
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儿童和成人的肌肉转移可改善产伤性臂丛神经麻痹的外旋:一项对比研究。

Muscle transfers in children and adults improve external rotation in cases of obstetrical brachial plexus paralysis: a comparative study.

机构信息

Department of Orthopaedics, 1st Faculty of Medicine Charles University and Hospital Na Bulovce, Budínova 2, 18081, Prague 8, Czech Republic,

出版信息

Int Orthop. 2014 Apr;38(4):803-10. doi: 10.1007/s00264-013-2202-0. Epub 2013 Dec 6.

DOI:10.1007/s00264-013-2202-0
PMID:24310506
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3971286/
Abstract

PURPOSE

Latissimus dorsi and teres major transfers to the lateral side of the humerus with lengthening of the pectoralis major and subscapularis muscles for residual shoulder deformity were compared in children and skeletally mature patients.

METHODS

Fifteen patients (nine children, six skeletally mature patients aged three to 30 years, follow-up one to 22 years) were treated for internal shoulder contracture after birth plexus lesions: C5-C6 (seven patients); C5-7 (five patients); C5-C8-T1 (three patients, respectively). Range of movement, Mallet shoulder function score and radiographs were assessed.

RESULTS

Pre-operatively, shoulder function restrictions were comparable in all patients. Postoperatively, external rotation, abduction and Mallet function score improved significantly (p < 0.05) in all patients except one. There were no differences in improvement between children and skeletally mature patients (p = 0.24-1.0).

CONCLUSIONS

This technique improves external rotation and abduction of the shoulder for daily living activities in children and young, skeletally mature, patients.

摘要

目的

比较儿童和骨骼成熟患者中,通过延长胸大肌和肩胛下肌,将背阔肌和大圆肌转移到肱骨外侧,以矫正残余肩部畸形的效果。

方法

15 名患者(9 名儿童,6 名 3 至 30 岁骨骼成熟患者,随访 1 至 22 年)因出生性臂丛神经损伤而接受治疗:C5-C6(7 名患者);C5-7(5 名患者);C5-C8-T1(3 名患者)。评估了活动范围、Mallet 肩部功能评分和 X 光片。

结果

术前,所有患者的肩部功能受限情况相似。术后,除 1 名患者外,所有患者的外旋、外展和 Mallet 功能评分均显著改善(p<0.05)。儿童和骨骼成熟患者在改善程度方面无差异(p=0.24-1.0)。

结论

该技术可改善儿童和年轻骨骼成熟患者的日常生活中肩部的外旋和外展功能。