分娩性臂丛神经损伤后肩关节外展外旋功能重建的疗效分析ppt课件.pptxVIP

Outcome analysis of modified teres major and latissimus dorsi transfer in the treatment of obstetric brachial plexus palsy shoulder sequelae;obstetric brachial plexus palsy;Sequelae of shoulder;Loss of active shoulder elevation and ER can lead to simple tasks, such as shaking hand, combing, brushing teeth, becoming impossible due to the inability of controlling the spatial positioning of the arm .;Pathomechanics;Shoulder Reconstruction;Nath (2007) Axillary Approach Releasing Pectoralis Major and Subscapularis Muscles Conjoint tendon suturing to Teres Minor ;Background;Background;Materials and Methods;Materials and Methods;Operative methods;Operative methods;Operative methods;Operative methods; The upper extremities were immobilized for 6-8 weeks in the position of abduction 90 degrees and ER 45 degrees except for two patients in the position of adduction and internal rotation. All patients were followed for 3 to 22 months.;Results;48.3±22.73°;2.5; Preoperative: Abduction 70°, ER 0°( Mallet Score 3) Postoperative: Abduction 130°, ER 45??( Mallet Score 4) ;Typical Cases;Typical Cases;The position of postoperative Immobilization can influence outcomes of ER ;;Conclusion;谢 谢