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面肩肱型肌营养不良症中的肩胛胸壁关节融合术。17例手术的回顾及3至21年随访

Scapulothoracic arthrodesis in facioscapulohumeral muscular dystrophy. Review of seventeen procedures with three to twenty-one-year follow-up.

作者信息

Bunch W H, Siegel I M

机构信息

Lakeshore Rehabilitation Hospital, Birmingham, Alabama 35209.

出版信息

J Bone Joint Surg Am. 1993 Mar;75(3):372-6. doi: 10.2106/00004623-199303000-00008.

Abstract

The scapula was fixed to the ribs in twelve patients who had facioscapulohumeral muscular dystrophy, in order to provide stability for activities involving the upper limbs. The duration of follow-up ranged from three to twenty-one years. Abduction, in 30 degrees of flexion, improved an average of 60 degrees, and gains in strength for carrying and lifting were reported by the patients. Complications included a brachial plexus palsy, which resolved, and a frozen shoulder. All of the patients but one were pleased with the result.

摘要

在12例面肩肱型肌营养不良患者中,将肩胛骨固定于肋骨,以便为涉及上肢的活动提供稳定性。随访时间为3至21年。在30度屈曲位时,外展平均改善了60度,患者报告在搬运和举重物时力量有所增加。并发症包括1例已缓解的臂丛神经麻痹和1例肩周炎。除1例患者外,所有患者对结果都很满意。

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