Key result
Subscapularis origin or anterior release was effective in 88.8% (32/36) of children with medial rotation contracture after obstetric brachial plexus palsy at 6-month follow-up.
Why the study?
Does subscapularis origin stripping or anterior release improve shoulder function in children with medial rotation contracture secondary to obstetric brachial plexus palsy?
Does subscapularis origin stripping or anterior release improve shoulder function in children with medial rotation contracture secondary to obstetric brachial plexus palsy?
Subscapularis origin stripping or anterior release is an effective treatment for medial rotation contracture of the shoulder following obstetric brachial plexus palsy, particularly in younger children.
May support subscapularis release for medial rotation contracture after obstetric brachial plexus palsy; leaves open need for controlled trials.
目的:介绍用肩胛下肌起点剥离术及前路松解术,治疗产瘫后肩关节内旋挛缩后遗症的方法及疗效.方法:对36例经盂肱角测定、肩关节中立位被动外旋及X线诊断为肩关节内旋挛缩的患儿,采用肩胛下肌起点剥离或止点延长、关节复位及继发性畸形纠正等手术进行治疗.用Mallet评分及Gilbert分级两项定量评价系统来评价术前、术后功能.结果:术后随访半年,32例有效,有效率为88.8%.年龄愈小疗效愈佳.4例无效者,3例术前无屈肘功能,提示臂丛上干恢复差;1例肩胛下肌止点切断后未作重建.结论:肩胛下肌起点剥离术或前路松解术,是治疗产瘫后肩内旋挛缩的有效方法,疗效与患儿年龄及臂丛上干的恢复程度密切相关.
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Li et al. (1997) studied this question. Subscapularis origin or anterior release was effective in 88.8% (32/36) of children with medial rotation contracture after obstetric brachial plexus palsy at 6-month follow-up.
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