Contracture of the shoulder adduction caused by fibrous long head of triceps muscle in children

ABSTRACT

Background: Contracture of the shoulder adduction caused by fibrous long head of the triceps muscle is rare. Up to now there is no one scientific article about this pathology. Objectives: (1) to remark of the clinical signs of fibrous long head of triceps muscle (2) to evaluate results of surgery. Subjects and methods: During a 2 - years - period (2005 - 2006), there were 21 patients (13 female, 08 male) aged from 06 years old to 19 years old with 34 shoulder joints. Those patients were operated by lengthening long head of the triceps, Teres major and Teres minor muscle. Results: Adduction - contracture, extension and flexion of the elbow, and scapulo humeral angles were measured in Xray. There was a fibrous band in long head of triceps muscle in ultrasound. Results of surgery were good in 31 shoulders (91.2%), fair in 02 shoulders (05.9 %) and poor in 01 (02.9%). Conclusions: Adduction contracture of the shoulders, lateral transfer of the scapula and palpable fibrous band were clinical symptoms of the fibrous long head of the triceps muscle. Evaluating the results of surgery should combines with clinical characteristics, X-ray, ultrasound and function of the shoulder and elbow.\r\n', u'\r\n', u'\r\n', u'