Remarks on the surgical techniques for treating deltoid fibrosis

ABSTRACT

Background: Deltoid fibrosis is caused by congenital disorder or complication of intramuscular injection or trauma, and can affect aesthetics and functions of shoulders. Objectives: To remark on the risk factors and pathology of deltoid fibrosis, and to evaluate the results of surgical procedure. Subjects and method: This clinical study involved 156 patients with 281 shoulder joints were surgically treated at National Hospital of Pediatrics from August 1994 to June 2005. All patients were physical and radiological examinations, and surgically treated by 1 of 4 techniques. Postoperative outcomes were evaluated. Results and Conclusion: Of 156 patients, there were 72 male and 84 female children, 62.8% in age group of 11-15 years old, and 29.5% over 15 years old. Severity of deltoid fibrosis was severe in 95.4% of shoulder joints, moderate 4.6%, and mild 0%. 12.2% patients experienced deltoid fibrosis in combination with fibrosis of another muscles. The postoperative outcomes included; good 92.5% of shoulder joints, moderate 2.9% and bad 4.6%. Type IV technique give best results (99%).