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J Orthop Surg Res 2018 Nov 29;13(1):304. Epub 2018 Nov 29.

Department of Orthopaedics, University of Zurich, Balgrist University Hospital, Forchstrasse 340, CH-8008, Zürich, Switzerland.

Background: The anterior deltopectoral approach is the standard approach for performing the open Latarjet procedure. Through the use of a more medial and vertical skin incision, the scar can be cosmetically covered by the bra strap in women. We call this incision the bra strap incision. Read More

J Pharmacopuncture 2017 Sep 30;20(3):227-229. Epub 2017 Sep 30.

Health Science Unit (PEC), Hong Kong Physically Handicapped & Able Bodied Association, Kowloon, Hong Kong.

Fibrosis of skeletal muscle following acupuncture is an iatrogenic disorder. The present case illustrates a patient with a unilateral fibrotic formation on a thumb muscle after acupuncture injection therapy with red sage. The patient in the present case was a counter-terrorism police officer with right-handedness; he noted a palpable nodule three months after injection therapy at his left first dorsal interosseous in which the acupuncture point LI4 (He Gu) is located. Read More

J Anat 2018 Oct 24;233(4):552-556. Epub 2018 Jul 24.

Department of Neuroscience, University of Padua, Padua, Italy.

Recently, alterations in fascial gliding-like movement have been invoked as critical in the etiology of myofascial pain. Various methods have been attempted for the relief of this major and debilitating clinical problem. Paramount have been attempts to restore correct gliding between fascial layers and the movement over bone, joint, and muscular structures. Read More

Medicine (Baltimore) 2017 Dec;96(51):e9373

Department of Plastic Surgery, Peking Union Medical College Hospital.

Rationale: In this study, a case of toe keloid after nail extraction is presented, in which the keloids on both toes were resected by surgical excision. Keloids (from the Greek word meaning "crab's claw") are fibrous growths that extend beyond the original area of injury to involve the adjacent normal skin. In general, keloid tendencies appear to be regionally isolated to keloid-prone areas, such as the chest, ears, and deltoid regions, whereas the hands and feet are usually spared, which is why this case is meaningful. Read More

Front Neurol 2017 31;8:367. Epub 2017 Jul 31.

Human Stem Cells Institute, Moscow, Russia.

Plectinopathies are orphan diseases caused by gene mutations. is encoding the protein plectin, playing a role in linking cytoskeleton components in various tissues. In this study, we describe the clinical case of a 26-year-old patient with an early onset plectinopathy variant "limb-girdle muscle dystrophy type 2Q," report histopathological and ultrastructural findings in m. Read More

Eur J Orthop Surg Traumatol 2017 Apr 14;27(3):391-397. Epub 2017 Mar 14.

Orthopaedic and Trauma Department, Rouen University Hospital, 1, rue de Germont, 76000, Rouen, France.

Open reduction and internal fixation of complex proximal humeral fracture represents a surgical challenge. The main objective of this procedure is to anatomically reduce the tuberosities. We propose a standardized and reproducible technique that we apply to all complex displaced 3- and 4-part fractures of patients under 50 years. Read More

J Plast Reconstr Aesthet Surg 2016 Dec 23;69(12):1653-1661. Epub 2016 Sep 23.

Department of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, China.

Background: The anterior chest is an excellent donor site for cervicofacial reconstruction. Studies of chest flaps began as early as 1988 at our institution. We identified a new branch of the supraclavicular artery that nourishes the anterior chest, and on the basis of this finding, we created a new flap called the subclavicular flap. Read More

PLoS One 2016;11(9):e0162494. Epub 2016 Sep 26.

Department of Biological Sciences, Faculty of Science, University of Manitoba, Winnipeg, MB, Canada.

Background: Rotator-cuff injury (RCI) is common and painful; even after surgery, joint stability and function may not recover. Relative contributions to atrophy from disuse, fibrosis, denervation, and satellite-cell responsiveness to activating stimuli are not known.

Methods And Findings: Potential contributions of denervation and disrupted satellite cell responses to growth signals were examined in supraspinatus (SS) and control (ipsilateral deltoid) muscles biopsied from participants with RCI (N = 27). Read More

Muscle Nerve 2017 05 11;55(5):715-726. Epub 2017 Jan 11.

Department of Biological Sciences, Faculty of Science, University of Manitoba, 212 Biological Sciences Building, 50 Sifton Road, Winnipeg, MB, R3T 2N2, Canada.

Introduction: Rotator-cuff injury (RCI) represents 50% of shoulder injuries, and prevalence increases with age. Even with successful tendon repair, muscle and joint function may not return.

Methods: To explore the dysfunction, supraspinatus and ipsilateral deltoid (control) muscles were biopsied during arthroscopic RCI repair for pair-wise histological and protein-expression studies. Read More

Front Aging Neurosci 2015 22;7:236. Epub 2015 Dec 22.

Department of Human Genetics, Leiden University Medical Center Leiden, Netherlands.

Shoulder complaints are common in the elderly and hamper daily functioning. These complaints are often caused by tears in the muscle-tendon units of the rotator cuff (RC). The four RC muscles stabilize the shoulder joint. Read More

J Craniofac Surg 2015 Jun;26(4):1355-7

*Buleun Health Care Center, Incheon, Republic of Korea †Keloid Research Foundation, New York, NY ‡Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.

Background: Until now, clinical studies dealing with pediatric keloids are extremely rare considering widespread controversies over the mode of inheritance of keloids. To the best of the authors' knowledge, there have been no reports analyzing this condition systemically. The purpose of this study was to summarize the baseline characteristics of a cohort of pediatric patients and recommend our effective regimens. Read More

J Craniofac Surg 2015 Jan;26(1):e48-50

From the *Department of Plastic Surgery, Inha University School of Medicine, Incheon; †Department of Anatomy, College of Medicine, Chung-Ang University, Seoul; and ‡Inha Research Institute for Medical Science, Incheon, Korea.

The aim of this study was to compare the skin tension of several fascial/subcutaneous tensile reduction sutures. Six upper limbs and 8 lower limbs of 4 fresh cadavers were used. At the deltoid area (10 cm below the palpable acromion) and lateral thigh (midpoint from the palpable greater trochanter to the lateral border of the patella), and within a 3 × 6-cm fusiform area of skin, subcutaneous tissue defects were created. Read More

Ann Plast Surg 2014 Sep;73 Suppl 1:S53-6

From the Department of Plastic and Reconstructive Surgery, Xijing Hospital, Fourth Military Medical University, Shaanxi, China.

Purpose: Cervical scar contracture causes both physical and psychological distress for burn patients. Many pedicle flaps or skin grafting have been suggested for reconstruction of cervical scar contracture with variable results in the literature. The authors present the axial thoracic flap based on the thoracic branch of the supraclavicular artery (TBSA) for reconstruction of cervical scar contracture. Read More

BMC Musculoskelet Disord 2014 Jun 16;15:206. Epub 2014 Jun 16.

Department of Orthopedics, Union Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei Province, China.

Background: The use of minimally invasive plate osteosynthesis (MIPO) via anterolateral deltoid splitting has good outcomes in the management of proximal humerus fractures. While using this approach has several advantages, including minimal soft tissue disruption, preservation of natural biology and minimal blood loss, there is an increased risk for axillary nerve damage. This study compared the advantages and clinical and radiological outcomes of MIPO or open reduction and internal fixation (ORIF) in patients with proximal humerus fractures. Read More

Ann Plast Surg 2015 Feb;74(2):248-51

From the *Department of Plastic and Reconstructive Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea; †Keloid Research Foundation, New York, NY; and ‡Reconstructive Sciences Unit, School of Medical Sciences, Universiti Sains Malaysia, Kelantan, Malaysia.

Background: There is strong evidence of genetic susceptibility in individuals with keloid disorder. The purpose of this cross-sectional study was to determine the clinical relevance of our proposed variables on the multiplicity of keloids by further investigating the presence of other keloids and a family history.

Methods: This was a retrospective review, using institutional review board-approved questionnaires, of patients with keloids who were seen at Kangbuk Samsung Hospital between December 2002 and February 2010. Read More

J Clin Diagn Res 2013 Feb 1;7(2):371-3. Epub 2013 Feb 1.

Professor, Department of Orthopaedics, Konaseema Institute of Medical Scienes , Amalapuram, Andhra Pradesh, India .

Post injection fibrosis leading to muscle contracture is a known complication. Deltoid fibrosis is known to occur following trauma or an intramuscular injection. Idiopathic Deltoid fibrosis leading to abduction contracture and anterior dislocation of the shoulder is a rare entity. Read More

J Neuropathol Exp Neurol 2013 Mar;72(3):234-43

UPMC Université Pierre et Marie Curie, Institut de Myologie, Paris, France.

Oculopharyngeal muscular dystrophy (OPMD) is a late-onset autosomal dominant inherited dystrophy caused by an abnormal trinucleotide repeat expansion in the poly(A)-binding-protein-nuclear 1 (PABPN1) gene. Primary muscular targets of OPMD are the eyelid elevator and pharyngeal muscles, including the cricopharyngeal muscle (CPM), the progressive involution of which leads to ptosis and dysphagia, respectively. To understand the consequences of PABPN1 polyalanine expansion in OPMD, we studied muscle biopsies from 14 OPMD patients, 3 inclusion body myositis patients, and 9 healthy controls. Read More

Rinsho Shinkeigaku 2013 ;53(1):41-5

Department of Neurology, Kyoto Prefectural University of Medicine, Graduate School of Medicine.

We report an 87-year-old female patient who presented a dropped head and progressive weakness in proximal muscles over five months. The value of serum creatine kinase was 2,708 IU/l and the antibody against signal recognition particle (SRP) was detected by means of immunoprecipitation. The computed tomography of skeletal muscles revealed atrophy and fatty degeneration preferentially in the neck extensors and paraspinal muscles. Read More

Zhonghua Shao Shang Za Zhi 2012 Aug;28(4):256-9

Institute of Plastic Surgery, Xijing Hospital, Fourth Military Medical University, Xi'an 710032, China.

Objective: To observe the therapeutic effect of repairing cervical scar contracture using flaps carrying cervical cutaneous branch of the transverse cervical artery.

Methods: Sixty-six patients with scar contracture after burn in anterior region of neck hospitalized from 1988 to 2011. The scars were excised and repaired with flaps containing the cervical cutaneous branch of transverse cervical artery. Read More

Lasers Med Sci 2013 May 21;28(3):957-64. Epub 2012 Aug 21.

Department of Orthopedic, Traumatologic, Rehabilitative and Plastic-Reconstructive Sciences, Second University of Naples, Naples, Italy.

Keloids and hypertrophic scars are abnormal responses to wound healing. In general, keloids exhibit a proliferative growth beyond the margins of the scar and remain persistent; while hypertrophic scars are contained to the original wound and may regress over time. In particular, keloid formation is one of the most challenging clinical problems, with increasing frequency in surgical practice. Read More

Transpl Infect Dis 2012 Apr 5;14(2):169-76. Epub 2012 Mar 5.

Division of Anatomical Pathology, St Vincent's Hospital, Sydney, NSW, Australia.

Microsporidia are obligate intracellular parasites, more closely related to fungi than protozoa on molecular phylogenetic analysis, and are known to be a rare cause of opportunistic infection in immune compromised patients including human immunodeficiency virus-positive patients and solid organ transplant recipients. We report the first case to our knowledge of microsporidial myositis in a lung transplant recipient. He was 49 years old and had received a lung transplant in 2000 for cystic fibrosis. Read More

PLoS One 2012 16;7(2):e31738. Epub 2012 Feb 16.

Departamento de Gastrenterologia, Unidade de Nutrição e Metabolismo, Hospital Santa Maria, Faculdade de Medicina de Lisboa, IMM, Lisbon, Portugal.

Introduction: Nonalcoholic fatty liver disease (NAFLD) can be seen as a manifestation of overnutrition. The muscle is a central player in the adaptation to energy overload, and there is an association between fatty-muscle and -liver. We aimed to correlate muscle morphology, mitochondrial function and insulin signaling with NAFLD severity in morbid obese patients. Read More

J Shoulder Elbow Surg 2012 Apr 9;21(4):431-40. Epub 2012 Jan 9.

KSF Orthopaedic Center, Houston, TX 77090, USA.

Failed rotator cuff repair may be caused by surgical complications, diagnostic errors, technical errors, failure to heal, and traumatic failure. Revision rotator cuff repair is made technically more difficult by poor tissue quality, tissue adhesions, and retained suture and suture anchor material. Historically, open revision rotator cuff repair yields inferior results compared with primary rotator cuff repair; however, more recent studies show 52% to 69% satisfactory results in small-sized or medium-sized tears. Read More

Int J Radiat Oncol Biol Phys 2012 Feb 1;82(2):612-8. Epub 2011 Feb 1.

Department of Internal Medicine, St Antonius Hospital, Nieuwegein, The Netherlands.

Purpose: To describe the damage to the muscles and propose a pathophysiologic mechanism for muscle atrophy and weakness after mantle field radiotherapy in Hodgkin lymphoma (HL) survivors.

Methods And Materials: We examined 12 patients treated by mantle field radiotherapy between 1969 and 1998. Besides evaluation of their symptoms, the following tests were performed: dynamometry; ultrasound of the sternocleidomastoid, biceps, and antebrachial flexor muscles; and needle electromyography of the neck, deltoid, and ultrasonographically affected arm muscles. Read More

Joint Bone Spine 2011 Jan 18;78(1):94-7. Epub 2010 Sep 18.

Department of Adult Haematology, Necker-Enfants malades Hospital, Assistance publique-Hôpitaux de Paris, université Paris-Descartes, 149, rue de Sèvres, 75015 Paris, France.

A 62-year-old woman with a past history of chronic hepatitis C virus infection presented an atypical predominantly painful polymyositis following a flu-like syndrome, persisting despite the withdrawal of PEG-interferon alpha-2b therapy. Clinical assessment, then immunological, electrophysiological and iconographic investigations including myositis antibodies, electromyography, pulmonary functions assessment and thoracic CT-scan found respectively "mechanic hands", arthralgia, presence of antisynthetase anti-PL7 antibody, typical myographic features of hip and shoulder girdles involvement, pulmonary fibrosis and restrictive syndrome features. A deltoid muscle biopsy revealed an unclassified myositis getting closer to anti-J0-1 and connective tissue disease associated myositis featuring: some components of polymyositis, dermatomyositis, and the following peculiar pathological aspects: noncaseous granulomatous infiltrate, endomysial microangiopathy and vascular and sarcolemic deposition of complement membrane attack complex. Read More

J Shoulder Elbow Surg 2010 Jul 10;19(5):734-8. Epub 2010 Feb 10.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN 55905, USA.

Hypothesis: The anteromedial approach to the shoulder with detachment of the anterior deltoid from its clavicular and anterior acromial origins is a method of enhancing exposure for difficult shoulder arthroplasty cases. The aim of this study is to describe the current frequency of use, indications, complications, and results of this approach.

Materials And Methods: Between 2000 and 2003, 723 consecutive shoulder arthroplasties were performed. Read More

Dermatology 2008 3;217(3):207-10. Epub 2008 Jul 3.

Clinic of Dermatology, University Hospital of Geneva, Geneva, Switzerland.

Solitary morphea profunda (SMP) is a distinct form of localized scleroderma, a cutaneous disorder of unknown origin. Here, we describe a patient presenting with noninflammatory cupuliform depressed plaques, without any significant skin induration, pigmentation or texture change, that appeared on the left shoulder at a site of previous intramuscular vaccination. Light microscopy studies revealed excessive dermal collagen deposition with thickened hyalinized collagen bundles. Read More

J Pediatr Orthop B 2007 Sep;16(5):337-44

Pediatric Orthopaedic Department, National Hospital of Pediatrics of Vietnam, Vietnam.

To evaluate the clinical and functional results of surgical treatment for fibrous deltoid muscle in children, a retrospective study has been undertaken. The data were analysed on 105 patients with age over 5 years (182 shoulders) from August 1994 to December 2004. Surgical techniques performed by the author were divided into four types: (i) type I, proximal release of intermediate portion of deltoid muscle; (ii) type II, distal release of intermediate portion of deltoid muscle; (iii) type III, lengthening of intermediate portion of deltoid muscle; and (iv) type IV, distal release of intermediate portion of deltoid muscle and transfer of posterior portion of deltoid muscle to fill the gap. Read More

Med Hypotheses 2008 16;70(1):156-66. Epub 2007 May 16.

Plastic Surgery Unit, Hospital USP Marbella, Avda. Severo Ochoa, 22, Marbella, Málaga, Spain.

The triggering cause of keloid formation on a healing wound remains an enigma. In fact, the hypotheses put forward so far to explain this phenomenon seem inconsistent with some clinical features of the disease. The recently established bonds between infectious agents and some pathologies of unknown origin such as peptic ulcer disease, Kaposi's sarcoma or cervical cancer among others led us to consider a potential infectious origin for keloids. Read More

Arch Orthop Trauma Surg 2008 Mar 7;128(3):293-6. Epub 2007 Feb 7.

Kettering General Hospital, 1/2 Mawsley Crescent, Kettering, Northants, UK.

The contracture of the deltoid muscle is an uncommon disorder. Amongst the various causes reported, post intramuscular injection and trauma leading to the fibrosis of the muscle are common. However, congenital cases are extremely rare. Read More

J Orthop Sci 2004 ;9(5):529-32

Department of Orthopaedic Surgery, Yamagata University School of Medicine, 2-2-2 Iida-Nishi, 990-9585, Yamagata, Japan.

This report presents a case of malignant granular cell tumor in the deltoid muscle and emphasizes the correlation between magnetic resonance (MR) images and pathological findings. A 71-year-old woman developed an elastic hard mass at the left shoulder. MR images revealed a soft tissue tumor with a maximum diameter of 5 cm and low signal intensity on both T1- and T2-weighted images. Read More

Br J Plast Surg 2004 Mar;57(2):122-33

Department of Plastic and Reconstructive Surgery, University of West Indies, Mona, Kingston, Jamaica.

By examining the keloid scars of 211 Afrocaribbean patients presenting to the Plastic Surgery unit in Kingston, Jamaica, we have described site-specific morphologies of scarring; keloid disease is not a homogenous biological entity. All cases conformed to clinical criteria for diagnosis of keloid scarring: 369 keloid scars were present in 137 females (2-83 years; mean 29.6 years; SD+/-14. Read More

Clin Orthop Relat Res 2002 May(398):121-6

Department of Orthopaedics, University Hospital of Geneva, Geneva, Switzerland.

Recurrent traumatic anterior shoulder dislocation results in soft tissues lesions around the glenohumeral joint. The subscapularis muscle is a major active stabilizer of the shoulder and the hypothesis of the current study is that one would expect pathologic changes within its substance secondary to the trauma. A histomorphometric study of the subscapularis muscle was done of 52 patients operated on for recurrent traumatic anterior shoulder dislocation. Read More

Rinsho Shinkeigaku 2001 Jul;41(7):390-6

We report a 61-year-old female patient with adult form of acid maltase deficiency showing many clinical similarities to facioscapulohumeral muscular dystrophy (FSHD). She developed difficulty in raising her right arm in her thirties followed by leg weakness. She had the typical features of FSHD, including bilateral scapular winging sparing the levator scapulae and deltoid muscles, and Beevor's sign. Read More

Am J Sports Med 2001 Sep-Oct;29(5):550-7

Sportsmed.SA, Stepney, South Australia, Australia.

We report on a series of six cases of posteromedial impingement lesion of the ankle operated on during a 3-year period with excellent or good results and a return of the patients to preinjury levels of activity. This lesion occurs, on occasion, after a severe ankle-inversion injury in which the deep posterior fibers of the medial deltoid ligament become crushed between the medial wall of the talus and the medial malleolus. Initially, posteromedial symptoms do not predominate, compared with the symptoms of the lateral ligament disruption, and they usually resolve without specific treatment. Read More

Psychol Rep 1999 Feb;84(1):239-46

Department of Psychiatry, Bellevue Hospital Center, New York University School of Medicine, NY 10016-6481, USA.

We present the case of a young man with a diagnosis of a childhood-onset pervasive developmental disorder who developed a progressive neurologic deterioration with persistent catatonia and right hemiparesis. On his initial evaluation approximately three years after the onset of mutism, he manifested right hemiparesis and catalepsy. Two years later, although catalepsy had subsided, motor function had deteriorated so that he could not use his hands to feed or dress himself. Read More

AJR Am J Roentgenol 1998 Feb;170(2):449-53

Department of Radiology, Kaohsiung Veterans General Hospital, Taiwan.

Objective: A retrospective review of the MR images and radiographs of 26 shoulders in 17 patients suffering from contracture of the deltoid muscle was used to establish the characteristic imaging findings.

Materials And Methods: Deltoid muscle contractures in 26 shoulders in 17 patients encountered over a 4-year period are reported. The history of intramuscular injection and clinical symptoms and signs are detailed. Read More

Khirurgiia (Mosk) 1997 (4):59-64

Microsurgical tissue autotransplantation was used in 133 patients with postburn neck and extremities deformation and contractures. The free nonstretched vascularized scapular, deltoid and thoracodorsal flaps were used in 93 patients with scarring deformations and contractures of the neck. The free stretched scapular flaps on the microvascular anastomoses were used in 30 patients. Read More

Int Orthop 1995 ;19(5):289-90

Bombay Hospital and Medical Research Centre, India.

Deltoid contracture is usually congenital and affects the intermediate part of the muscle. Fibrosis occurring in these fibres produces the contracture. Six patients are reported. Read More

Zhonghua Wai Ke Za Zhi 1995 Jan;33(1):57-9

Plastic Surgery Center, Xijing Hospital, Fourth Military Medical University.

Transcervicothoracic skin flap was used to repair the faciocervical scars left after burns in 56 cases. Anatomy and clinical application proved that the transverse cervical artery branches out a constant skin artery before it enters the trapezius muscle and this artery, after crossing the clavicle, is divided into two branches, one extending outwards, and the other downwards. The internal thoracic artery branched out an intercostal perforator on the spot 1 cm to the parasternum. Read More

Ann Intern Med 1994 Apr;120(7):529-36

Department of Medicine, Hospital Clínic i Provincial, University of Barcelona, Villaroel, Spain.

Objective: To evaluate the relation between skeletal muscle disease (myopathy) and degenerative changes in cardiac muscle (cardiomyopathy) in patients with chronic alcoholism.

Design: A cross-sectional study.

Setting: University medical center. Read More

Nihon Kyobu Shikkan Gakkai Zasshi 1993 May;31(5):629-35

Department of Internal Medicine, Kanazawa Medical University, Ishikawa, Japan.

A 60-year-old woman was admitted to our hospital with a two month history of dry cough and dyspnea on exertion. A chest roentgenogram revealed diffuse interstitial shadows with a reduction of lower lung volume. Laboratory examinations revealed an increase in CPK and aldolase. Read More

Zh Vopr Neirokhir Im N N Burdenko 1992 Mar-Jun(2-3):25-8

The dynamics of the restoration of sensitivity of 40 free dermo-fascial grafts was studied: radial from the forearm, dorsal of the foot, deltoid, periscapular, and lateral graft of the upper arm. Effective degree of reinnervation of neurovascular grafts, a radial graft in particular, 12-18 months after a microsurgical operation was shown. The restoration of nerve connections of 63 grafts was appraised in dog experiments by means of a complex of histological and micromorphometric methods. Read More

Rev Chir Orthop Reparatrice Appar Mot 1992 ;78(2):130-3

University Department of Orthopaedic and Accident Surgery, Royal Liverpool Hospital, U.K.

Three cases of a previously undescribed condition of idiopathic, non-progressive deltoid muscle contracture are reported. The clinical features are presented as also the management of the cases. Intra-operative appearance of the fibrotic band responsible for the pathology is described. Read More

Zh Nevropatol Psikhiatr Im S S Korsakova 1992 ;92(3):19-23

Lesions of the rotating cuff is a most frequent cause of disorders in the shoulder joint. However, they are frequently misdiagnosed and their manifestations use to be considered as those of scapulohumeral periarthritis, cervical osteochondrosis, or even brachial plexus palsy. The paper deals with symptoms and signs of rotating cuff lesions that are fairly different from those of the conditions above cited. Read More

Gaoxiong Yi Xue Ke Xue Za Zhi 1989 Feb;5(2):91-5

In order to examine the prevalence and risk factors of muscular fibrotic contracture (MFC) among school children in Jia-Dong Township, Pingtung County, a prevalence survey combined case-control study was carried out from January to April, 1988. All the school children aged from 6 to 19 years old were first screened at schools and then referred to the Provincial Pingtung Hospital for confirmatory diagnosis based on the non-invasion criteria. A total of 83 MFC cases were identified including 79 gluteal fibrotic contracture (GFC) patients, 3 deltoid fibrotic contracture (DFC) patients, and 1 affected both GFC and DFC. Read More

Acta Neurol Scand 1988 Sep;78(3):167-76

Department of Neurology, Kaohsiung Medical College, Taiwan.

One hundred and fifteen cases of injection myopathy with deltoid and/or gluteal fibrotic contracture were studied, almost all of whom had definite histories of repeated intra-gluteal or intra-deltoid injections. One third had siblings affected by the same fibro-muscular disorders manifested by focal muscle atrophy and limitation of adduction and flexion of the shoulder or hip. Electromyography disclosed myopathic changes of the fibrotic muscles. Read More

Med Cutan Ibero Lat Am 1988 ;16(2):137-9

Servico de Dermatologia, Hospital de Santa Maria, Lisboa.

A 52 year old housewife was vaccinated against smallpox at the age of 18, on her right deltoid area. At the age of 50 she noticed erythema and scaling on the vaccination scar and 2 years later a nodule appear that enlarged during the following 3 months. There was no history nor skin changes suggestive of significant sun exposure. Read More

Arch Phys Med Rehabil 1987 Jan;68(1):49-50

Fibrous myopathy is a common, well-known side effect of repeated pentazocine injection. However, compression neuropathy due to fibrotic muscle affected by pentazocine-induced myopathy has not previously been reported. In a 37-year-old woman with documented pentazocine-induced fibrous myopathy of triceps and deltoid muscles bilaterally and a three-week history of right wrist drop, electrodiagnostic examination showed a severe but partial lesion of the right radial nerve distal to the branches to the triceps, in addition to the fibrous myopathy. Read More

Gaoxiong Yi Xue Ke Xue Za Zhi 1986 Mar;2(3):184-8