Passive range of glenohumeral motion in children with a Sprengel’s deformity
Autor: | Paula Diaz-Gallardo, Jorge Knörr, Sergi Barrera-Ochoa, Pierluigi Di-Felice-Ardente, Francisco Soldado, Josep M. Bergua-Domingo |
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Rok vydání: | 2020 |
Předmět: |
Shoulder
lcsh:Diseases of the musculoskeletal system shoulder elevation Sprengel deformity lcsh:Orthopedic surgery Patient age Deformity medicine Orthopedics and Sports Medicine Joint Contracture Orthodontics Basic Science Study scapulothoracic joint Kinesiology business.industry congenital Sprengel's deformity glenohumeral contractures medicine.disease lcsh:RD701-811 External rotation Surgery lcsh:RC925-935 medicine.symptom Contracture business Range of motion |
Zdroj: | JSES International JSES International, Vol 4, Iss 3, Pp 495-498 (2020) |
ISSN: | 2666-6383 |
DOI: | 10.1016/j.jseint.2020.04.018 |
Popis: | Background: In Sprengel's deformity, loss of shoulder motion has been attributed exclusively to scapulothoracic stiffness. The purposes of this study were to evaluate passive glenohumeral (GH) joint motion in these children. Methods: A prospective evaluation of 23 children was performed. Obtained data were demographics, Cavendish grade, bilateral active global shoulder elevation, and multidirectional passive GH range of motion, including: (a) GH internal rotation in abduction and GH cross-body adduction to assess for posterior GH contracture; (b) spinohumeral abduction angle (SHABD) to assess for inferior GH contracture; (c) spinohumeral adduction angle to assess for superior GH contracture; and (d) passive external rotation in shoulder adduction and abduction to assess for anterior GH contracture. Paired t tests and both Pearson's and Spearman's correlation analyses were performed. Results: The mean patient age was 8.1 years (range, 1.4-16.7 years), with 13.4% of deformities Cavendish grade 1, 52.2% grade 2, 13.4% grade 3, and 21.7% grade 4. The involved shoulder showed a statistically significant decrease in mean active global shoulder elevation (117.4° vs. 176.1°), SHABD (14.6° vs. 41.5°), cross-body adduction (43° vs. 71.3°), and internal rotation in abduction (17.8° vs. 49.4°), all at P < .001. Strong inverse correlations were noted between Cavendish grade and both global shoulder elevation (r, −0.784) and SHABD (r, −0.669). Cavendish grade IV patients showed a mean decrease of 45° (range, 40°-60°) of SHABD. Conclusion: Shoulder elevation is also impaired by GH joint contractures. |
Databáze: | OpenAIRE |
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