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The most clearly visible manifestation of the SHEAR deformity is elevation of the scapula[ 4].
The SHEAR deformity commonly occurs in conjunction with Medial Rotation Contracture (MRC) of the arm.
The presence of SHEAR deformity was determined by physical examination and quantitated from 3D-CT images [ 4].
This method was followed since the SHEAR deformity is the underlying pathophysiology behind the fixed medial rotation contracture.
In OBPI, these movements are reduced and humeral head subluxation occurs in addition to the development of the SHEAR deformity.
Scapular elevation was quantified from a bilateral 3D-reconstruction of the CT axial images to determine the severity of the SHEAR deformity [ 4].
Similar(52)
Thus, unlike the normal hip where these resultant forces are compressive, in coxa vara, the shearing forces cause the deformity to recur unless the osteotomy addresses the physeal position satisfactorily [8].
In order to preserve the anatomical configuration, the blocks were sectioned at a sufficient thickness (6 8 mm) to prevent block deformity from the shearing force of sectioning.
The term SHEAR (Scapular Hypoplasia Elevation And Rotation) deformity has been used to describe the ultimate bony consequence of the muscular fibrosis, and is potentially relevant to the majority of OBPI patients exhibiting MRC [ 2- 4].
The increased posterolateral shear could be a contributing factor to hallux deformity.
Assessment of hemorheology by a full-automatic hemorheolometer revealed that acupoint-injection of compound Angelica-root injection (Fufang Danggui injection) downregulated blood viscosity including high, medium and low shearing rates, erythrocyte aggregation index, and rigidity index; deformity index was up-regulated, facilitating cerebral blood circulation.
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