胸长神经筋膜嵌压综合征：翼状肩胛
Syndrome of fascial incarceration of the long thoracic nerve: winged scapula.
作者信息
Silva Jefferson Braga, Gerhardt Samanta, Pacheco Ivan
机构信息
Universidade Federal de São Paulo (UNIFESP), São Paulo, SP, Brazil ; Hospital São Lucas, Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS, Brazil.
School of Medicine, Pontifícia Universidade Católica do Rio Grande do Sul (PUC-RS), Porto Alegre, RS, Brazil.
出版信息
Rev Bras Ortop. 2015 Sep 2;50(5):573-7. doi: 10.1016/j.rboe.2015.08.011. eCollection 2015 Sep-Oct.
OBJECTIVE
To analyze the results from early intervention surgery in patients with the syndrome of fascial incarceration of the long thoracic nerve and consequent winged scapula.
METHODS
Six patients with a syndrome of nerve trapping without specific nerve strain limitations were followed up.
RESULTS
The patients achieved improvement of their symptoms 6-20 months after the procedure. The motor symptoms completely disappeared, without any persistent pain. The medial deformity of the winged scapula improved in all cases, without any residual esthetic disorders.
CONCLUSION
The approach of early surgical release seems to be a better predictor for recovery from non-traumatic paralysis of the anterior serratus muscle.
目的
分析早期干预手术治疗胸廓长神经筋膜嵌压综合征及继发翼状肩胛的效果。
方法
对6例无特定神经牵拉伤限制的神经卡压综合征患者进行随访。
结果
患者术后6 - 20个月症状改善。运动症状完全消失，无持续性疼痛。所有病例翼状肩胛的内侧畸形均有改善，无美学障碍残留。
结论
早期手术松解方法似乎是前锯肌非创伤性麻痹恢复的更好预测指标。
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