内镜辅助下针对先天性高肩胛症的伍德沃德手术的疗效

Outcomes following endoscopic-assisted Woodward procedure for Sprengel deformity.

作者信息

Soldado Francisco, Barrera-Ochoa Sergi, Diaz-Gallardo Paula, Nguyen Trong-Quynh, Nguyen Dinh-Hung, Knörr Jorge

机构信息

Unit for Paediatric Hand, Nerve and Microsurgery, Barcelona Children's Hospital HM Nens, HM Hospitales, Barcelona, Spain.

Hand Surgery Unit, ICATME, Centre Medic Quiron Deixeus, Barcelona, Spain.

出版信息

J Child Orthop. 2021 Dec 1;15(6):583-588. doi: 10.1302/1863-2548.15.210138.

DOI:10.1302/1863-2548.15.210138

PMID:34987669

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8670538/

Abstract

PURPOSE

An endoscopic-assisted approach for Sprengel deformity has been previously reported. Our objective was to assess outcomes of the endoscopic Woodward procedure in a series of patients.

METHODS

Retrospective analysis was performed of children with a Sprengel deformity treated between November 2014 and February 2018. Recorded data were demographic, pre- and postoperative active shoulder elevation and deformity severity according to Cavendish.

RESULTS

A total of 12 children (four girls and eight boys, ten right-sided/two left-sided) with a mean age of nine years two months (3 years 5 months to 16 years 1 month) and mean follow-up 19.8 months (10 to 48) were assessed. Nine children were classified as Cavendish Grade III and three as grade IV, respectively. Mean preoperative active shoulder forward elevation was 100.8° (70° to 120°), while postoperatively it increased to 149.2° (100° to 170°). Mean preoperative scapular high difference was 4.5 cm (2.8 to 5.2), while postoperatively it was 1.33 cm (0 to 2.8).

CONCLUSION

The endoscopic assisted Woodward procedure is an effective technique. Further comparative studies will ascertain advantages in functional and cosmetic results compared to the standard Woodward procedure.

LEVEL OF EVIDENCE

Therapeutic study, Level IV.

摘要

目的

先前已有关于内镜辅助治疗先天性高肩胛症的报道。我们的目的是评估一系列患者接受内镜下伍德沃德手术的疗效。

方法

对2014年11月至2018年2月期间接受治疗的先天性高肩胛症患儿进行回顾性分析。记录的数据包括人口统计学资料、术前和术后主动肩部抬高情况以及根据卡文迪什法评估的畸形严重程度。

结果

共评估了12例患儿（4例女孩和8例男孩，10例右侧/2例左侧），平均年龄为9岁2个月（3岁5个月至16岁1个月），平均随访时间为19.8个月（10至48个月）。9例患儿被归类为卡文迪什III级，3例为IV级。术前平均主动肩部前屈抬高角度为100.8°（70°至120°），术后增至149.2°（100°至170°）。术前平均肩胛高度差为4.5 cm（2.8至5.2）cm，术后为1.33 cm（0至2.8）cm。