Scapulothoracic arthrodesis in facioscapulohumeral muscular dystrophy.
Forty-nine scapulothoracic arthrodeses were done in 33 patients with facioscapulohumeral muscular dystrophy to improve upper limb performance during activities of daily living. Mean followup was 102 months (range, 12-257 months). An initial average increase in shoulder abduction of 25 degrees and forward elevation of 29 degrees was seen. Complications included pleural effusion in four patients, atelectasis in one patient, stress fractures in both scapulas in one patient, asymptomatic fractures of the two lower wired ribs in one patient, and spontaneously reversible neurologic complications in two patients. No effect on respiratory function was seen.
Berne
D
D
Department of Orthopedic and Trauma Surgery, Pitié-Salpêtrière Teaching Hospital, Pierre and Marie Curie University, Paris, France.
Laude
F
F
Laporte
C
C
Fardeau
M
M
Saillant
G
G
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D001174:Arthrodesis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D020391:Muscular Dystrophy, Facioscapulohumeral / Q000503:physiopathology / Q000601:surgery*; D017063:Outcome Assessment, Health Care; D017060:Patient Satisfaction; D016059:Range of Motion, Articular / Q000502:physiology; D020127:Recovery of Function / Q000502:physiology; D012189:Retrospective Studies; D012272:Ribs / Q000503:physiopathology / Q000601:surgery*; D012540:Scapula / Q000503:physiopathology / Q000601:surgery*; D012785:Shoulder Joint / Q000503:physiopathology / Q000601:surgery; D013997:Time Factors; D034941:Upper Extremity / Q000503:physiopathology / Q000601:surgery