Scapulothoracic arthrodesis in facioscapulohumeral muscular dystrophy. Review of seventeen procedures with three to twenty-one-year follow-up.
The scapula was fixed to the ribs in twelve patients who had facioscapulohumeral muscular dystrophy, in order to provide stability for activities involving the upper limbs. The duration of follow-up ranged from three to twenty-one years. Abduction, in 30 degrees of flexion, improved an average of 60 degrees, and gains in strength for carrying and lifting were reported by the patients. Complications included a brachial plexus palsy, which resolved, and a frozen shoulder. All of the patients but one were pleased with the result.
Bunch
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Lakeshore Rehabilitation Hospital, Birmingham, Alabama 35209.
Siegel
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D000293:Adolescent; D000328:Adult; D001174:Arthrodesis / Q000009:adverse effects / Q000379:methods*; D001458:Bandages; D001864:Bone Wires; D002370:Casts, Surgical; D015444:Exercise; D005205:Fascia / Q000473:pathology / Q000503:physiopathology; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006811:Humerus / Q000473:pathology / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D009119:Muscle Contraction; D009136:Muscular Dystrophies / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D016059:Range of Motion, Articular; D012272:Ribs / Q000601:surgery*; D012540:Scapula / Q000473:pathology / Q000503:physiopathology / Q000601:surgery*; D012785:Shoulder Joint / Q000503:physiopathology