儿童三角肌挛缩症的病因探讨及手术疗效分析

目的探讨三角肌挛缩的病因及治疗.方法：对2009年5月～2013年10月手术治疗的12例患儿进行分析,其中男4例,女8例;单侧10例,双侧2例;12例均肩部接受过局部肌肉注射.平均年龄8.5岁.临床表现为患肩外展畸形,内收受限,三角肌部皮肤凹陷,可扪及硬性条索状物.结果：全组均经手术治疗,术中彻底松解粘连及挛缩组织,8例肩外展畸形消失,肩关节功能正常,4例仍遗留部分外观畸形及肩内收受限.结论：三角肌挛缩症为多因素致病的肩部疾患,早期发现早期手术治疗效果满意,年龄越大效果越差.

ObjectiveTo investigate the pathogeny and treatment method of deltoid contracture.Methods：All 12 cases receive operative treatment,Male 4 cases,female 8 cases;ulilateral 10 cases,bilateral 2 cases;all cases had received local muscle injection in shoulder area.Average age of 8.5 years.Clinical manifestation showed shoulder abduction and limited abduction and deltoid skin sag and palpable cable.Results：8 cases shoulder abduction disappear and shoulder joint function recovered to normal,4 cases shoulder joint left deformity and limited abduction,the excellent and good rate is 75%.Conclusion：The pathogeny of deltoid contracture was caused by multiple factors,early diagnosis and early operation would acquire satisfactory result.