Orthopaedics and Trauma
Volume 23, Issue 3 , Pages 180-185, June 2009

Facioscapulohumeral muscular dystrophy assessment and treatment

Samuel J Parsons FRCS (Tr & Orth) is a Orthopaedic Specialist Registrar at North Staffordshire Royal Infirmary, University Hospital of North Staffordshire NHS Trust, Stoke on Trent, UK

Andrew McMurtrie MRCS is a Orthopaedic Specialist Registrar at North Staffordshire Royal Infirmary, University Hospital of North Staffordshire NHS Trust, Stoke on Trent, UK

Stephen Cooke MRCS is a Orthopaedic Specialist Registrar at North Staffordshire Royal Infirmary, Stoke on Trent, UK

Birender Balain FRCS is a Orthopaedic Specialist Registrar at North Staffordshire Royal Infirmary, University Hospital of North Staffordshire NHS Trust, Stoke on Trent, UK

David Jaffray FRCS is a Consultant Orthopaedic Surgeon at Robert Jones and Agnes Hunt Hospital, Oswestry, Shropshire, UK

Abstract 

Facioscapulohumeral dystrophy (FSHD), is a muscular dystrophy that classically affects the shoulder girdle and facial muscles. It should be considered in the differential diagnosis of patients presenting with limb girdle weakness. Progression is usually slow, and the condition is rarely fatal. Treatment is mostly supportive, although a number of patients can be helped with scapulo-thoracic fusion. This paper summarises the current understanding of this form of muscular dystrophy.

Keywords: facioscapulohumeral dystrophy, muscular dystrophy, shoulder

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PII: S1877-1327(09)00048-7

doi:10.1016/j.mporth.2009.03.001

Orthopaedics and Trauma
Volume 23, Issue 3 , Pages 180-185, June 2009