鎖骨先天異常における肩関節の機能

概要

論文の詳細を見る
There was no report on the shoulder function of congenital clavicle anomalies. Our purpose was to clarify the role of the clavicle, investigating the shoulder function in patients with clavicle defect or pseudoarthrosis.13 shoulders of 9 patients with congenital clavicle anomalies were retrospectively investigated for this study. Diagnoses were congenital pseudoarthrosis in 3 patients, congenital complete defect in one, major defect due to cleidocranial dysplasia in 3, distal defect related to congenital progeroid syndrome in one, proximal half defect related to Goltz syndrome in one. The mean follow-up term was 7 years. We evaluated their range of motion (ROM) of the shoulder and activities of daily living. In a case of congenital defect of the clavicle and 2 pediatric cases of cleidocranial dysplasia, slight ROM limitation of the shoulder were seen. In the remaining cases, there was no limitation. All patients daily activities were not disturbed. In patients with less than a 2/3 defect of the clavicle, there was no functional problem of the shoulder. Although mooring muscles of the scapula worked in compensation for the clavicle defect in patients with more than a 2/3 defect, they needed to make the effort to keep not only the elevated position but also the neutral position of their shoulders.
日本肩関節学会の論文