The Journal of Bone and Joint Surgery, Vol 75, Issue 3 372-376, Copyright © 1993 by Journal of Bone and Joint Surgery, Inc
Scapulothoracic arthrodesis in facioscapulohumeral muscular dystrophy. Review of seventeen procedures with three to twenty-one-year follow-up
WH Bunch and IM Siegel
Lakeshore Rehabilitation Hospital, Birmingham, Alabama 35209.
The scapula was fixed to the ribs in twelve patients who had
facioscapulohumeral muscular dystrophy, in order to provide stability for
activities involving the upper limbs. The duration of follow-up ranged from
three to twenty-one years. Abduction, in 30 degrees of flexion, improved an
average of 60 degrees, and gains in strength for carrying and lifting were
reported by the patients. Complications included a brachial plexus palsy,
which resolved, and a frozen shoulder. All of the patients but one were
pleased with the result.