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首页> 外文期刊>Open Journal of Modern Neurosurgery >Muscles Transfer around the Shoulder in Cases of Brachial Plexus Birth Palsy
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Muscles Transfer around the Shoulder in Cases of Brachial Plexus Birth Palsy

机译：臂丛神经性麻痹病例中，肌肉在肩部周围转移

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Background: ? Disabling internal rotation contractures are frequently experienced in children with unresolved birth brachial plexus palsies. Multiple surgical options like muscle release, tendon transfer, or humeral osteotomy are available to treat such cases. Purpose: ? Evaluation of the outcome of subscapularis release and latissimus dorsi and teres major tendon transfer in the management of obstetric brachial palsies in Mansoura University neurosurgical department. Study type: Retrospective observational study. Patients and Methods: Twenty-five cases who underwent subscapularis release and latissimus dorsi and teres major transfer were included in the study. All patients were subjected to complete history taking, through clinical examination. The degree of shoulder movement and disability was assessed via Modified Gilbert shoulder evaluation scale. Results: The least follow up period for our patients was 9 months. There was a clear improvement of shoulder function evaluated using Modified Gilbert shoulder evaluation scale as there were 73% of postoperative group between GIV and GV while about 84% of preoperative group were between GII and GIII. Conclusion: Tendon transfer is a valid easy procedure for correction of shoulder deformities in patients with obstetrical brachial plexus palsy. It is considered a very good option for patients who missed the chance of microsurgical repair or patients with poor shoulder recovery after surgery. Although some authors reported deterioration of shoulder function with log time follow up after tendon transfer, it is still better than those who were not operated.
机译：背景：？患有未解决的出生臂丛神经麻痹的儿童经常会发生内旋转挛缩性残疾。多种手术选择，例如肌肉释放，肌腱转移或肱骨截骨术均可用于治疗此类病例。 目的：？在Mansoura大学神经外科治疗产科臂瘫时评估肩s下释放，背阔肌和大肌腱转移的结果。 研究类型：回顾性观察研究。 患者和方法：本研究包括25例接受了肩cap下释放，背阔肌和大腿畸形转移的病例。通过临床检查，所有患者均接受了完整的病史记录。通过改良的吉尔伯特肩膀评估量表评估肩膀运动和残疾的程度。 结果：我们患者的最少随访时间为9个月。使用改良的吉尔伯特肩膀评估量表评估的肩关节功能明显改善，GIV和GV之间的术后组占73％，而GII和GIII之间的术前组约占84％。 结论：肌腱转移术是纠正产科臂丛神经麻痹患者肩部畸形的有效简便方法。对于错过了显微外科手术修复机会的患者或术后肩膀恢复较差的患者，这是一个很好的选择。尽管一些作者报告说，在肌腱转移后，随着对数时间的随访，肩部功能会下降，但仍优于未进行手术的人。

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