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孤立性前锯肌麻痹。20例报告。

Isolated paralysis of the serratus anterior. A report of 20 cases.

作者信息

Foo C L, Swann M

出版信息

J Bone Joint Surg Br. 1983 Nov;65(5):552-6. doi: 10.1302/0301-620X.65B5.6643557.

DOI:10.1302/0301-620X.65B5.6643557
PMID:6643557
Abstract

A description is given of 20 patients with winging of the scapula. The majority had suffered spontaneous severe pain in the region of the shoulder followed about two weeks later by the deformity and associated loss of function. Only in three patients was there a clear history of trauma. Some patients may have strained the arm, but in the majority no single factor heralded the problem. Most of the patients were followed up for more than two years and it became clear that functional recovery could take up to this time to be complete. However, careful examination revealed that often a slight degree of winging remained. No specific treatment apart from gentle physiotherapy was prescribed and certainly no operative procedures. It is considered that a number of these cases were examples of neuralgic amyotrophy.

摘要

本文描述了20例肩胛翼状畸形患者。大多数患者肩部区域曾自发出现剧痛,约两周后出现畸形并伴有功能丧失。只有3例患者有明确的外伤史。有些患者可能拉伤过手臂,但大多数患者并无单一因素预示会出现该问题。大多数患者接受了两年多的随访,结果表明功能恢复可能需要这么长时间才能完成。然而,仔细检查发现,往往仍残留轻微程度的翼状畸形。除了温和的物理治疗外,未采取其他特殊治疗,当然也未进行手术。据认为,其中一些病例是神经性肌萎缩的实例。

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