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Scapulothoracic arthrodesis for winged scapula due to facioscapulohumeral dystrophy (a new technique).

Abstract
We introduced a new scapulothoracic arthrodesis technique in 6 patients (2 bilaterally) with winging of the scapula due to facioscapulohumeral muscular dystrophy from 1984 to 2000. The procedure involved a combination of plating and wiring techniques. The indications were symptomatic winging, limitation of active shoulder motion, pain, and impaired daily living activity. Our objective was to improve motion, strength, and performance of activities of daily living, as well as to provide pain relief. As a result of the technique, active motion improved in all patients, flexion improved from 64 degrees to 104 degrees, and abduction improved from 67.5 degrees to 112.5 degrees. The only complication was a hemothorax in a bilateral case that was easily treated. The length of follow-up averaged 32.5 months (14-55 months), and results did not change with time.
AuthorsMajid A Ziaee, Mansoor Abolghasemian, Mohammad E Majd
JournalAmerican journal of orthopedics (Belle Mead, N.J.) (Am J Orthop (Belle Mead NJ)) Vol. 35 Issue 7 Pg. 311-5 (Jul 2006) ISSN: 1078-4519 [Print] United States
PMID16927655 (Publication Type: Journal Article)
Topics
  • Adult
  • Arthrodesis (methods)
  • Bone Plates
  • Bone Wires
  • Female
  • Humans
  • Male
  • Muscular Dystrophy, Facioscapulohumeral (surgery)
  • Range of Motion, Articular
  • Ribs (surgery)
  • Scapula (surgery)
  • Shoulder Joint

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