Twyman R S, Harper G D, Edgar M A
Royal National Orthopaedic Hospital Trust, Stanmore, Middlesex, U.K.
J Shoulder Elbow Surg. 1996 May-Jun;5(3):201-5. doi: 10.1016/s1058-2746(05)80006-0.
A new method of scapulothoracic fusion is described for patients with facioscapulohumeral dystrophy. To improve upper limb function by abolishing scapula winging, bilateral procedures were performed in six patients with an average age of 30 years (range 17 to 44 years). The average follow-up was 49 months (range 1 to 7 years). A good functional and cosmetic result was obtained in all patients. An average postoperative increase in shoulder abduction of 28 degrees and flexion of 40 degrees was seen. Only a small diminution in respiratory function occurred (mean decrease in forced expiratory volume in 1 second of 14% and forced vital capacity of 21%).
本文描述了一种针对面肩肱型肌营养不良患者的肩胛胸壁融合新方法。为通过消除肩胛骨翼状畸形来改善上肢功能，对6例平均年龄30岁（范围17至44岁）的患者进行了双侧手术。平均随访时间为49个月（范围1至7年）。所有患者均获得了良好的功能和美容效果。术后肩关节外展平均增加28度，前屈平均增加40度。仅出现了呼吸功能的轻微下降（1秒用力呼气量平均下降14%，用力肺活量平均下降21%）。
