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

buivangiang@hmu.edu.vn

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.