Fibrous deltoid muscle in Vietnamese children

Area of Science:

• Orthopedic Surgery
• Pediatric Orthopedics
• Musculoskeletal Disorders

Background:

• Fibrous deltoid muscle in children can lead to functional limitations.
• Surgical intervention is considered for improving clinical and functional results.
• Evaluating different surgical techniques is crucial for optimal patient outcomes.

Purpose of the Study:

• To assess the clinical and functional outcomes of surgical treatments for fibrous deltoid muscle in pediatric patients.
• To compare the effectiveness of four distinct surgical techniques.
• To identify surgical approaches that minimize postoperative complications.

Main Methods:

• Retrospective analysis of 105 pediatric patients (182 shoulders) aged over 5 years.
• Surgical techniques included proximal release, distal release, lengthening, and combined release/transfer of the deltoid muscle.
• Clinical and functional results were evaluated post-surgery with an average follow-up of 3 years and 2 months.

Main Results:

• Overall, 95.6% of shoulders showed good clinical results.
• Type IV surgery (distal release and posterior portion transfer) demonstrated the lowest incidence of stairstep deformity (4.3%).
• 98.6% of patients undergoing Type IV surgery achieved satisfactory outcomes.

Conclusions:

• Surgical treatment for fibrous deltoid muscle in children generally provides good clinical and functional results.
• The Type IV surgical technique is effective in reducing postoperative deformities like stairstep deformity.
• This study supports the use of Type IV surgery for improved shoulder contour and function in pediatric patients.