bv giang contracture fibroid of the deltoid muscle in children jfim hanoi 2015
TRANSCRIPT
Contracture fibroid of the Deltoid Muscle
in children
XƠ CƠ ĐELTA Ở TRẺ EM Bùi văn Giang
Department of Radiology, St Paul hospital Hanoi Medical University
Hà nội, 11/2015
Some comparisons
Vietnam • Children • Important deformation • Epidemic locally
Literature • Adults • Less important • No epidemic
Lorne E, Clin Orthop Relat Res. 2001 May;(386):222-5
Normal anatomy of a deltoid
?
- Lesion(s)
localised or diffused
- Operation method ?
Problematic questions
Treatment method?:
-Rehabilitation
-Surgery and how
Criteria to select treatment methods
Causal explanation?
Age: Under 6 years old: 4 6 – 15 years old: 236 >15 years old: 192
Total: 432
Results
• From 9/5/2006 to 14/8/2006
Fibroidcordissingle,notadhesivetothehumeralbone
Opera7on:cu9ngofthefibroidcordinthemiddlepor7on
Fibroidcordissingle,notadhesivetothehumeralbone
Opera7on:middlecutofthefibroidcord
Diffuse fibrosis, attached to the bone
Operation: release distally or origninally
Operation failed in cases of: - Insufficient diagnosis - Not suitable intervention - Rehabilitation not enough
Ultrasound:sufficientfordiagnosisandtreatmentmethoddecision
Difficultyincaseofdiffusefibrosisorcalcifica7on
Ultrasound:sufficientfordiagnosisandtreatmentmethoddecision
Difficultyincaseofdiffusefibrosisorcalcifica7on
Trân trọng cảm ơn
Merci de votre attention
Reference • V. P. KUMAR, K. SATKU, JIE LIU, YAN SHEN. The anatomy of the anterior origin of the deltoid. J Bone Joint Surg Br. 1997
Jul;79(4):680-3. • Huang CC, Ko SF, Ko JY, Huang HY, Ng SH, Wan YL, Chen MC, Cheng YF, Lee TY. Contracture of the deltoid muscle:
sonographic evaluation with MRI correlation. AJR Am J Roentgenol. 2005 Aug;185(2):364-70. • KIYOHISA OGAWA, MASAAKI TAKAHASHI, TOYOHISA NANIWA. Deltoid Contracture: MR Imaging Features. Clinical
Radiology (2001) 56, 146±149. doi:10.1053/crad.2000.0589, online at http://www.idealibrary.com on • Lorne E, Gagey O, Quillard J, Hue E, Gagey N. The fibrous frame of the deltoid muscle. Its functional and surgical
relevance. Clin Orthop Relat Res. 2001 May;(386):222-5. • Ko JY, An KN, Yamamoto R. Contracture of the deltoid muscle. Results of distal release. J Bone Joint Surg Am. 1998 Feb;
80(2):229-38. • Ko JY, An KN, Yamamoto R. Contracture of the deltoid muscle. Results of distal release. J Bone Joint Surg Am. 1998 Feb;
80(2):229-38.