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臀大肌纤维化继发的髋关节挛缩。

Contracture of the hip secondary to fibrosis of the gluteus maximus muscle.

作者信息

Hang Y S

出版信息

J Bone Joint Surg Am. 1979 Jan;61(1):52-5.

PMID:759436
Abstract

Twenty-eight children were treated who had limited flexion of the hips and various degrees of contracture of the abductor and external rotator muscles because of fibrosis of the gluteus maximus muscle. Although the lesions could be classified as those associated with poliomyelitis, infection of the gluteus maximus muscle, and fibrosis of unknown etiology, all forty-five hips had a typical restriction of motion such that an affected hip could not be flexed in the usual sagittal plane, but had to be flexed in abduction. Poliomyelitis may have been adjunctive to the causative factor of the lesion in some cases but the probable primary etiology was multiple intramuscular injections. Excellent correction of the hip contracture was achieved in all patients by division of the fibrotic bands.

摘要

28名儿童因臀大肌纤维化而出现髋关节屈曲受限以及外展肌和外旋肌不同程度的挛缩,接受了治疗。尽管这些病变可归类为与小儿麻痹症、臀大肌感染以及病因不明的纤维化相关,但所有45个髋关节均有典型的活动受限,即患侧髋关节无法在通常的矢状面内屈曲,而必须在外展位屈曲。在某些病例中,小儿麻痹症可能是病变致病因素的辅助因素,但可能的主要病因是多次肌肉注射。通过切断纤维化带,所有患者的髋关节挛缩均得到了良好矫正。

相似文献

1
Contracture of the hip secondary to fibrosis of the gluteus maximus muscle.臀大肌纤维化继发的髋关节挛缩。
J Bone Joint Surg Am. 1979 Jan;61(1):52-5.
2
Fibrosis of the gluteus maximus: a cause of limited flexion and adduction of the hip in children.臀大肌纤维化:儿童髋关节屈曲和内收受限的一个原因。
Clin Orthop Relat Res. 1981 May(156):67-78.
3
[Surgical treatment of post-injection contracture of the hip in children].[儿童注射后髋关节挛缩的外科治疗]
Chir Narzadow Ruchu Ortop Pol. 1995;60(1):39-41.
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Injection-induced gluteus muscle contractures: diagnosis with the "reverse Ober test" and surgical management.注射性臀肌挛缩症:“反向奥伯试验”诊断及手术治疗
J Pediatr Orthop. 2015 Mar;35(2):192-8. doi: 10.1097/BPO.0000000000000238.
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Abduction contracture of the hip in children.儿童髋关节外展挛缩
J Bone Joint Surg Br. 1975 Nov;57(4):463-5.
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Idiopathic contracture of the gluteus maximus muscle in children.儿童臀大肌特发性挛缩症
Arch Orthop Trauma Surg (1978). 1988;107(5):277-9. doi: 10.1007/BF00451506.
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Abduction contracture of the shoulders and hips secondary to fibrous bands.继发于纤维带的肩部和髋部外展挛缩。
J Bone Joint Surg Am. 1973 Jun;55(4):844-6.
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Idiopathic contracture of the M gluteus maximus in children.儿童臀大肌特发性挛缩症
Chin Med J (Engl). 1985 Nov;98(11):803-6.
9
[Insertion of gluteus maximus tendo-chilles lengthening with Z-shaped for the treatment of severe gluteal muscle contracture].Z形臀大肌肌腱延长术治疗重度臀肌挛缩症
Zhongguo Gu Shang. 2015 Jun;28(6):524-6.
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