Jackson A M, Hutton P A
J Bone Joint Surg Br. 1985 Jan;67(1):97-102. doi: 10.1302/0301-620X.67B1.3968154.
Thirty-two contractures of the quadriceps induced by injection in 17 children have been reviewed. The average age at presentation was 3 years 4 months. All the children had suffered a severe illness within the first few weeks of life and all had received intramuscular injections into the thigh. Three methods of treatment were used: conservative, distal quadricepsplasty, and proximal release. At follow-up none of the patients treated by proximal release had an extension lag, which was present in 70% of those treated by distal quadricepsplasty. Apart from one case with slight improvement in the range of knee flexion, conservative treatment, at best, could only prevent further loss. The clinical presentation and management is described, and the advantages of proximal release are discussed.
对17名儿童因注射导致的32例股四头肌挛缩进行了回顾性研究。就诊时的平均年龄为3岁4个月。所有儿童在出生后的头几周内都患过重病，且都接受过大腿肌肉注射。采用了三种治疗方法：保守治疗、股四头肌远端成形术和近端松解术。随访时，接受近端松解术治疗的患者均无伸直滞后，而接受股四头肌远端成形术治疗的患者中有70%存在伸直滞后。除1例膝关节屈曲范围略有改善外，保守治疗充其量只能防止进一步丧失。描述了临床表现和治疗方法，并讨论了近端松解术的优点。
