Lewis Molly K, Ramos-Williams Omar, Syed Hasan M, Gregorius Theodore K
Department of Orthopaedic Surgery, Loma Linda University Medical Center, Loma Linda, California.
Empire Orthopaedic Center, Colton, California.
JBJS Case Connect. 2018 Jan-Mar;8(1):e14. doi: 10.2106/JBJS.CC.17.00122.
A 9-year-old boy sustained intrasubstance tears of the rotator cuff and periscapular muscles due to a fall, resulting in scapular winging and severely decreased shoulder range of motion. Treatment consisted of a modified thoracolumbosacral orthosis (TLSO) with a shoulder immobilizer attachment (to reduce the scapula to the thoracic wall and hold the arm in 10° of abduction). The brace was worn for 8 weeks. The patient recovered full, pain-free shoulder function and range of motion, and returned to high-level athletics.
Pediatric massive intrasubstance rotator cuff and periscapular muscle tears can be treated nonoperatively with use of a modified TLSO.
一名9岁男孩因跌倒导致肩袖和肩胛周肌肉实质内撕裂，造成肩胛翼状突出，肩关节活动范围严重减小。治疗方法为佩戴改良胸腰骶矫形器（TLSO）并附加肩部固定装置（将肩胛骨固定于胸壁，使手臂外展10°）。该支具佩戴8周。患者恢复了完全无痛的肩部功能和活动范围，并重返高水平体育运动。
小儿肩袖和肩胛周肌肉大面积实质内撕裂可通过使用改良TLSO进行非手术治疗。
