Lejman T, Strong M, Michno P
Department of Surgery, Polish-American Children's Hospital, Kraków.
J Pediatr Orthop. 1995 Mar-Apr;15(2):169-71.
Four neonates presented with septic shoulders after delays in diagnosis of 7-20 days. All lacked active extension of the wrist and thumb, and three lacked active extension of the fingers. Two had positive cultures for Staphylococcus aureus, and one had a positive Escherichia coli culture. Surgical treatment was one single aspiration and three arthrotomies. Recovery of extension began in 10-21 days and was normal at 18-35 days post-treatment. At follow-up 9-13 months later, all limbs were neurologically normal. Cadaver dissections showed that the radial nerve passed close to the shoulder joint, and when the capsule was distended, it impinged on the nerve.
4例新生儿在诊断延迟7至20天后出现肩部感染。所有患儿均缺乏腕关节和拇指的主动伸展，3例缺乏手指的主动伸展。2例金黄色葡萄球菌培养阳性，1例大肠杆菌培养阳性。手术治疗包括1次单纯穿刺抽吸和3次关节切开术。伸展功能在治疗后10至21天开始恢复，18至35天时恢复正常。在9至13个月后的随访中，所有肢体神经功能均正常。尸体解剖显示桡神经靠近肩关节走行，当关节囊扩张时，会压迫该神经。
