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Related Experiment Videos

Scapular fixation in muscular dystrophy.

C J Mummery1, S A Copeland, M R Rose

  • 1Department of Neurology, King's Neuroscience Centre, King's College Hospital, Denmark Hill, London, UK, SE5 9RS.

The Cochrane Database of Systematic Reviews
|August 15, 2003
PubMed
Summary
This summary is machine-generated.

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Scapular fixation techniques may improve shoulder function in muscular dystrophy, particularly facioscapulohumeral muscular dystrophy. However, evidence is limited, and operative benefits must be weighed against potential complications and recovery needs.

Area of Science:

  • Orthopedics
  • Neurology
  • Rehabilitation Medicine

Background:

  • Scapular winging results from thoracoscapular muscle weakness, common in facioscapulohumeral muscular dystrophy.
  • This weakness causes the scapula to lift off the chest wall, impairing shoulder function.
  • Existing interventions for scapular stability include surgical and non-surgical methods.

Purpose of the Study:

  • To review evidence on scapular fixation techniques for muscular dystrophy.
  • To assess efficacy in improving upper limb function, especially in facioscapulohumeral muscular dystrophy.

Main Methods:

  • Searched Cochrane Neuromuscular Disease Group trials register and contacted experts.
  • Included quasi-randomized or randomized controlled trials of scapular fixation for muscular dystrophy.

Related Experiment Videos

  • Primary outcome: objective shoulder abduction improvement; secondary outcomes: daily living function, pain, complications.

    • Main Results:

    • No randomized trials were identified.
    • A review of non-randomized literature was conducted.

    Conclusions:

    • Operative interventions show potential benefits for scapular winging in muscular dystrophy.
    • Benefits must be balanced against risks like immobilization, physiotherapy needs, and complications.
    • A randomized trial is challenging; a case register and standardized assessment are recommended for better comparison.