Die operative Behandlung des angeborenen Schulterblatthochstandes
| Autor: | Jäger M, Wirth Cj |
|---|---|
| Rok vydání: | 2008 |
| Předmět: | |
| Zdroj: | Zeitschrift für Orthopädie und ihre Grenzgebiete. 122:31-36 |
| ISSN: | 1438-941X 0044-3220 |
| DOI: | 10.1055/s-2008-1044580 |
| Popis: | In congenital elevation of the scapula the scapulothoracic movements and the patient's cosmetical appearance are affected. The aim of a number of operative procedures is the improvement or removal of this conditions. Between 1958 and 1978 15 patients with congenital elevation of the scapula were operatively treated by resection of the supraspinous portion of the scapula with or without relocating the scapula in a more caudal position, or in the method of Konig. 5 cases had a Grade-3 deformity, 9 cases a Grade-2 deformity and one case a Grade-1 deformity, measured in the technique of Rigault. By resection of the supraspinous portion of the scapula with mobilization of the scapula (6 cases) a mean caudalization of 2.7 cm. and a mean improvement in shoulder abduction of 32 degrees could be achieved. The procedure of Konig resulted in a mean scapular caudalization of 2.9 cm. and a mean improvement in shoulder abduction of 26 degrees. No important difference in the endresult could be found between the two operative procedures because of nearly the same pre-operative grading distribution of deformity. Only the partially unsightly surgical scars were dissatisfying. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|