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肱骨旋转截骨术治疗产瘫所致的肩部畸形：我该向哪个方向旋转？

Humeral rotational osteotomy for shoulder deformity in obstetric brachial plexus palsy: which direction should I rotate?

作者信息

Abdelgawad Amr A, Pirela-Cruz Miguel A

机构信息

Department of Orthopedic Surgery, Paul L. Foster School of Medicine, Texas Tech University Health Science Center at El Paso, TX, USA.

出版信息

Open Orthop J. 2014 Jun 13;8:130-4. doi: 10.2174/1874325001408010130. eCollection 2014.

DOI:10.2174/1874325001408010130
PMID:24987487
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4076617/
Abstract

Shoulder internal rotation contracture is the most common deformity affecting the shoulder in patients with Obstetric Brachial Plexus Palsy. With progression of the deformity, the glenohumeral joint starts to subluxate and then dislocates. This is accompanied with bony changes of both the humerus and the glenoid. Two opposite direction humeral osteotomies have been proposed for this condition (internal rotation osteotomy (IRO) and external rotation osteotomy (ERO)). This fact of different direction osteotomies has not adequately been explained in the literature. Most orthopedic surgeons may not be able to fully differentiate between these two osteotomies regarding the indications, outcomes and effects on the joint. This review explains these differences in details.

摘要

肩部内旋挛缩是产科臂丛神经麻痹患者中影响肩部最常见的畸形。随着畸形的进展，盂肱关节开始半脱位，然后脱位。这伴随着肱骨和肩胛盂的骨质改变。针对这种情况，已经提出了两种相反方向的肱骨截骨术（内旋截骨术（IRO）和外旋截骨术（ERO））。文献中尚未充分解释这两种不同方向截骨术的这一事实。大多数骨科医生可能无法在适应症、结果以及对关节的影响方面充分区分这两种截骨术。本综述详细解释了这些差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/4076617/d38e4e4ec430/TOORTHJ-8-130_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/4076617/d38e4e4ec430/TOORTHJ-8-130_F1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b22b/4076617/d38e4e4ec430/TOORTHJ-8-130_F1.jpg

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