Ketenjian A Y
J Bone Joint Surg Am. 1978 Jun;60(4):476-80.
A surgical procedure has been devised to prevent scapular winging and to increase shoulder abduction in facioscapulohumeral muscular dystrophy. The operation improves the limited shoulder abduction and scapular winging caused by the loss of scapular fixation to the thoracic cage, while passive abduction at the glenohumeral joint remains normal. Preventing scapular malrotation by eliminating scapulothoracic motion increases shoulder abduction. This is achieved by fastening the scapula to several underlying ribs with fascia. The operation has resulted in a 37 per cent increase in abduction, increased shoulder strength and endurance, and the prevention of scapular winging.
已经设计出一种外科手术，用于预防面肩肱型肌营养不良症中的肩胛翼状畸形并增加肩部外展。该手术改善了因肩胛骨与胸廓固定丧失而导致的有限肩部外展和肩胛翼状畸形，而肱盂关节处的被动外展仍保持正常。通过消除肩胛胸壁运动来防止肩胛骨旋转不良可增加肩部外展。这是通过用筋膜将肩胛骨固定到几根下面的肋骨上来实现的。该手术使外展增加了37%，增强了肩部力量和耐力，并预防了肩胛翼状畸形。
