肩膀突移的中期结果 质 产生的伤害用注射肉毒素A治疗
Maulin M Shah1, Joyance J Mammen2, Meet Jain2
1Department of Pediatric Orthopedics, Orthokids Clinic.
Journal of pediatric orthopedics
|February 2, 2025
概括
毒素A注射有效地通过缓解内部旋转收缩来治疗婴儿肩部脱位. 然而,这种治疗可能会导致C7肌肉参与的儿童出现外部旋转收缩.
科学领域:
- 儿科整形外科 儿科整形外科
- 神经肌肉疾病 神经肌肉疾病
背景情况:
- 婴儿肩部脱位是一种通过超声波诊断的已知的疾病.
- 毒素A注射可以作为肩部脱的内部旋转收缩症的辅助疗法.
研究的目的:
- 为了评估用肉毒素A注射治疗的肩部脱的中期结果.
- 确定影响这种治疗成功的因素.
主要方法:
- 86名超声波诊断为肩部脱的儿童接受了肉毒素A注射.
- 六十二名儿童接受了平均36个月的随访,评估了病童医院活跃运动量表 (HSC-AMS) 和运动范围.
- 注射的目标是 subscapularis 和 pectoralis 大肌肉,随后是伸展和造.
主要成果:
- 44%的儿童不需要进一步的手术 (A组).
- 44%的人经历了内部轮流合同的复发 (B组).
- 12%的患者患有外部旋转收缩症 (C组),与C7肌肉参与有关.
结论:
- 毒素A对肩部脱位有效,早期招募C5-C6肌肉.
- 在C7肌肉参与的儿童中,由于外部旋转收缩症的风险,请避免此程序.
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