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目的 增强对儿童双侧三角肌伴双侧臀肌挛缩症的认识 ,并探讨此病的病因。方法 对 7例儿童双侧三角肌伴双侧臀肌挛缩症的临床资料进行分析。结果 临床主要表现为双肩外展位畸形 ,内收障碍 ,双侧三角肌中部或后部可触及质硬的挛缩带 ;双侧肩胛骨呈翼状 ;双臀呈尖臀征 ,并膝下蹲活动受限 ,划圈征阳性 ,双臀部也可触及质硬的挛缩带。 7例中有家族史者 2例 ,有肌内注射史者 2例 ,无诱因者 3例。本组病例均行手术治疗。随访 0 .5～ 5 .5a ,7例患者肩关节、髋关节发育良好 ,关节活动正常 ;仅 1例仍有轻度翼状肩胛。结论 本病的病因与家族因素、先天性肌发育或营养不良有关。宜早期诊断、尽早手术治疗
Objective To enhance children’s bilateral deltoid with bilateral gluteal muscle contracture awareness and explore the etiology of the disease. Methods The clinical data of 7 children with bilateral deltoid muscle and bilateral gluteal muscle contracture were analyzed. Results The main clinical manifestations of shoulder abduction deformity, adduction disorders, bilateral deltoid muscle can reach the middle or the back of the hard contracture zone; bilateral scapula was wing-like; double hip was sharp hip sign, and knees squatting activities limited, Circle sign positive, double hip can also touch the hard contracture zone. There were 2 cases with family history in 7 cases, 2 cases with intramuscular injection history and 3 cases without inducement. This group of patients underwent surgical treatment. Follow-up 0.5 ~ 5.5a, 7 patients with shoulder joint, hip developed well, joint activity was normal; only 1 case still mild wing-like shoulder blades. Conclusion The etiology of this disease is related to familial factors, congenital muscular development or malnutrition. Should be early diagnosis, as soon as possible surgical treatment