Pradhan S, Mittal B
Department of Neurology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Clin Neurol Neurosurg. 1995 May;97(2):134-8. doi: 10.1016/0303-8467(95)00013-a.
Eighty-four patients with Duchenne muscular dystrophy (DMD) were examined clinically for hypertrophy and wasting in different muscles, parts of the muscles or muscle groups. Some muscles were examined under mild contraction to bring out any subclinical pseudohypertrophy. Findings revealed infraspinatus muscle hypertrophy to be significantly frequent (88%) and closely second to well known calf hypertrophy (94%). Infraspinatus hypertrophy was noted in 5 such DMD patients in whom calf hypertrophy was unremarkable. The wasting was consistently observed in the muscles forming anterior and posterior axillary folds. In conclusion, infraspinatus muscle hypertrophy and wasting of axillary folds are the important supportive clinical evidences during the examination of DMD patients.
对84例杜氏肌营养不良症（DMD）患者进行了临床检查，以观察不同肌肉、肌肉部分或肌群的肥大和萎缩情况。部分肌肉在轻度收缩状态下进行检查，以发现任何亚临床假性肥大。结果显示，冈下肌肥大极为常见（88%），紧随广为人知的小腿肥大（94%）之后。在5例小腿肥大不明显的DMD患者中观察到了冈下肌肥大。腋窝前后皱襞处的肌肉持续出现萎缩。总之，冈下肌肥大和腋窝皱襞萎缩是DMD患者检查过程中的重要支持性临床证据。
