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• Clinical Article •
Deltoid contracture in children: the characteristic analysis of 3.0 T high field strength MRI
LIU Jia-ni  LI Qi  PAN Shi-nong  LI Sen  YU Tao  LUO Ya-hong 

DOI:10.3969/j.issn.1674-8034.2015.06.008.


[Abstract] Objective: To study the 3.0 T MRI characteristic features of deltoid contracture in children.Materials and Methods: The study comprised 18 children with deltoid contracture. All children were performed with X-ray and 3.0 T MRI. MR routine scanning sequences were T1WI, T2WI, T2WI with fat suppression sequence, and axial fast gradient echo (GRE) T2WI sequence. CT scan was conducted in 9 children.Results: MR T1WI and T2WI showed that involved deltoid became thin and atrophic in different degree, and the inner muscular clearance became broad in 18 cases. GRE-T2WI showed that out above humerus head there had low signal fiber band along to the outside of the deltoid contracture in 16 cases, and adjacent subcutaneous fat focal thickening to fill in the surface of band. Pathological results showed, in MR GRE-T2WI, contracture fibrous bands were dense fibrous connective tissue, hyaline degeneration, the striated muscle to atrophy or disappear, and showed adipose tissue to fill between muscle tissue; Coincidence rate of MR GRE-T2WI manifestation and pathology results was 88.9%.Conclusion: 3.0 T MRI can directly show exactly contracture deltoid and hyperplasia fibrous bands structure, and then determine a clear diagnosis.
[Keywords] Child；Deltoid；Contracture；Magnetic resonance imaging

LIU Jia-ni Department of medical imaging, Liaoning Cancer Hospital & Institute, Shenyang 110042, China

LI Qi Department of medical imaging, Liaoning Electric Power Central Hospital, Shenyang 110003, China

PAN Shi-nong Department of Radiology, Shengjing Hospital of China Medical University, Shenyang 110004, China

LI Sen Department of medical imaging, Liaoning Cancer Hospital & Institute, Shenyang 110042, China

YU Tao Department of medical imaging, Liaoning Cancer Hospital & Institute, Shenyang 110042, China

LUO Ya-hong* Department of medical imaging, Liaoning Cancer Hospital & Institute, Shenyang 110042, China

*Correspondence to: Luo YH, E-mail: luoyahong8888@hotmail.com

Conflicts of interest   None.

Received  2015-03-28
Accepted  2015-04-28
DOI: 10.3969/j.issn.1674-8034.2015.06.008
DOI:10.3969/j.issn.1674-8034.2015.06.008.

[1]
Sato M, Honda S, Inoue H. 3 cases of abduction contracture of the shoulder joint caused by fibrosis of the deltoid muscle. Seikei Geka, 1965, 16(12): 1052-1056.
[2]
Yin TC, Chen JM, Huang CC, et al. Surgical results of concomitant treatment of deltoid contracture and rotator cuff tear. Injury, 2011, 42(4): 397-402.
[3]
Shanmugasundaram TK. Post-injection fibrosis of skeletal muscle: a clinical problem. A personal series of 169 cases. Int Orthop, 1980, 4(1): 31-37.
[4]
Vadapalli S. Anterior Dislocation of the Shoulder Due to an Idiopathic Deltoid Contracture-the Report of a Rare Presentation. J Clin Diagn Res, 2013, 7(2): 371-373.
[5]
Wang HJ, Yan H, Cui GQ, et al. Arthroscopic release of the deltoid contracture. Chin Med J (Engl), 2010, 123(22): 3243-3246.
[6]
Report on the diagnosis and treatment of muscular contracture. The Ad Hoc Committee of the Japanese Orthopaedic Association of Muscular Contracture. Nihon Seikeigeka Gakkai Zasshi, 1985, 59(2): 223-253.
[7]
Lian LY, Zhang LJ, Zhao Q. Deltoid contracture mimicking shoulder dislocation in a 7-year-old boy. Orthopade, 2010, 39(9): 874-878.
[8]
Chen WJ, Wu CC, Shih CH. Surgical treatment for deltoid contracture in adults. Am J Orthop (Belle Mead NJ), 1995, 24(6): 488-491.
[9]
Chen CK, Yeh L, Chen CT, et al. Contracture of the deltoid muscle: imaging findings in 17 patients. AJR Am J Roentgenol, 1998, 170(2): 449-453.
[10]
Jhunjhunwala HR. Abduction contracture of the deltoid muscle in children. Int Orthop, 1995, 19(5): 289-290.
[11]
Ko JY, An KN, Yamamoto R. Contracture of the deltoid muscle. Results of distal release. J Bone Joint Surg Am, 1998, 80(2): 229-238.
[12]
Minami M, Yamazaki J, Minami A, et al. A postoperative long-term study of the deltoid contracture in children. J Pediatr Orthop, 1984, 4(5): 609-613.
[13]
Vadapalli S. Anterior Dislocation of the Shoulder Due to an Idiopathic Deltoid Contracture-the Report of a Rare Presentation. J Clin Diagn Res, 2013, 7(2): 371-373.
[14]
Chen HC, Huang TF, Chou PH, et al. Deltoid contracture: a case with multiple muscle contractures. Arch Orthop Trauma Surg, 2008, 128(11): 1239-1243.
[15]
Huang CC, Ko SF, Ko JY, et al. Imaging factors related to rotator cuff tear in patients with deltoid contracture. J Formos Med Assoc, 2006, 105(2): 132-138.
[16]
Lian LY, Zhang LJ, Zhao Q. Deltoid contracture mimicking shoulder dislocation in a 7-year-old boy. Orthopade, 2010, 39(9): 874-878.
[17]
Yin TC, Chen JM, Huang CC, et al. Surgical results of concomitant treatment of deltoid contracture and rotator cuff tear. Injury, 2011, 42(4): 397-402.
[18]
Yuming Yin，潘诗农.踝关节MR断层解剖、解剖变异和病理——第一部分：断层解剖．磁共振成像, 2010, 1(4): 246-252.
[19]
李军，李庆贤，郑维波，等．臀中肌综合征影像学表现一例．磁共振成像, 2014, 5(3): 216-217.
[20]
Basmajian JV. Grant's Method of Anatomy. 10th Ed. Baltimore/London: Williams & Wilkins, 1980: 339-348.
[21]
Hereter GJ, Bureau NJ, Billuart F, et al. Coaptation/elevation role of the middle deltoid muscle fibers: a static biomechanical pilot study using shoulder MRI. Surg Radiol Anat, 2014, 36(10): 1001-1007.
[22]
Gray H. Anatomy of the Human Body. 30th American Ed. Philadelphia:Lea & Febiger, 1985: 521-525.
[23]
Sakoma Y, Sano H, Shinozaki N, et al. Anatomical and functional segments of the deltoid muscle. J Anat, 2011, 218(2): 185-190.
[24]
Svensson L, Leirud-Wangen E, Wahlberg MK, et al. Survey of methods in subcutaneous and intramuscular injections for children and adults. Tidskr Sjukvardspedagog, 1979, 26(4): 17-21.
[25]
Ogawa K, Takahashi M, Naniwa T. Deltoid contracture: MR imaging features. Clin Radiol, 2001, 56(2): 146-149.
[26]
Laorr A, Helms CA. MRI of Musculoskeletal Masses: A Practical Text and Atlas. New York/Tokyo: Igaku-Shoin, 1997:19-39, 114-127.

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