重度 Sprengel 畸形的手术治疗：一例报告。
Surgical Treatment of Severe Sprengel's Deformity: A Case Report.
机构信息
Department of Orthopaedics, Beijing Children's Hospital, Capital Medical University, National Center for Children's Health, Beijing, China.
出版信息
JBJS Case Connect. 2023 Mar 16;13(1). doi: e22.00648. eCollection 2023 Jan 1.
CASE
An adolescent girl who presented with obviously impaired shoulder abduction due to untreated severe Sprengel's deformity underwent deformity correction surgery. Intraoperative neuromonitoring was used to warn of potential brachial plexus injury during a modified Woodward procedure. At 3-month follow-up, range of shoulder abduction had improved significantly.
CONCLUSION
Sprengel's deformity is a rare congenital shoulder deformity, and the Woodward procedure could cause nerve injury in patients with severe Sprengel's deformity. Neuromonitoring can be performed intraoperatively to avoid brachial plexus injury.
病例
一名青春期少女因未治疗的严重 Sprengel 畸形而出现明显的肩部外展障碍，接受了畸形矫正手术。改良 Woodward 手术中使用术中神经监测来警告潜在的臂丛神经损伤。3 个月随访时，肩部外展范围明显改善。
结论
Sprengel 畸形是一种罕见的先天性肩部畸形，Woodward 手术可导致严重 Sprengel 畸形患者的神经损伤。术中可进行神经监测以避免臂丛神经损伤。
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