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Scapulopexy of Winged Scapula Secondary to Facioscapulohumeral Muscular Dystrophy
- Source :
- Clinical Orthopaedics & Related Research. 449:288-294
- Publication Year :
- 2006
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2006.
-
Abstract
- UNLABELLED Facioscapulohumeral muscular dystrophy is an hereditary disease that causes weakness of the scapulothoracic muscles and leads to winged scapula. Patients with facioscapulohumeral muscular dystrophy are unable to sustain shoulder abduction or flexion and are limited in daily activities. We retrospectively reviewed nine patients (18 procedures) who had scapulothoracic fixation without arthrodesis (scapulopexy). The technique consists of repositioning the scapula over the rib cage and fixation to four ribs with metal wires. We assessed improvement in range of motion of the shoulder, maintenance of the correction with time, and cosmetic and functional results. The average age of the patients at surgery was 25.2 years (range, 15-35 years), and there were no major complications. The average followup was 9.9 years (range, 3-16 years). All patients had complete resolution of the winged scapula and improved range of motion. Arm abduction increased from an average of 68.3 degrees (range, 45 degrees-90 degrees) preoperatively to 96.1 degrees (range, 60 degrees-120 degrees) postoperatively. Arm flexion increased from an average of 57.2 degrees (range, 45 degrees-90 degrees) preoperatively to 116.1 degrees (range, 80 degrees-180 degrees) postoperatively. The position of the scapula obtained by surgery was maintained with time, and the patients had satisfactory cosmetic results. LEVEL OF EVIDENCE Therapeutic study, Level IV. See the Guidelines for Authors for a complete description of levels of evidence.
- Subjects :
- Adult
Male
medicine.medical_specialty
Adolescent
Arthrodesis
medicine.medical_treatment
scapulopexy
Ribs
Scapula
medicine
Humans
Facioscapulohumeral muscular dystrophy
Orthopedic Procedures
Orthopedics and Sports Medicine
winged scapula
Range of Motion, Articular
Winged scapula
Retrospective Studies
Rib cage
Shoulder Joint
business.industry
General Medicine
medicine.disease
Muscular Dystrophy, Facioscapulohumeral
Surgery
body regions
Treatment Outcome
medicine.anatomical_structure
Orthopedic surgery
Female
Shoulder joint
business
Range of motion
Bone Wires
Follow-Up Studies
Subjects
Details
- ISSN :
- 0009921X
- Volume :
- 449
- Database :
- OpenAIRE
- Journal :
- Clinical Orthopaedics & Related Research
- Accession number :
- edsair.doi.dedup.....1b323eb800761646885872629a86578b