Contralateral Trapezius Transfer to Restore Shoulder External Rotation Following Adult Brachial Plexus Injury

The Journal of Hand Surgery
Bassem ElhassanAlexander Shin

Abstract

To evaluate the outcome of contralateral lower trapezius origin transfer (CLTOT) to restore shoulder external rotation in patients with shoulder paralysis after brachial plexus injury (BPI). We evaluated 12 patients with a history of BPI with persistent shoulder paralysis. All patients had compromised ipsilateral lower trapezius muscle function. All patients underwent CLTOT prolonged with lumbar fascia to the affected infraspinatus tendon either isolated (7 patients) or as part of multiple tendon transfer (5 patients). Standardized patient outcomes measures were obtained. At 23 months' follow-up, 10 patients had improved shoulder external rotation from no motion preoperatively to an average external rotation 110° from the abdomen. Five patients had marked improvement of pain, including 2 with isolated CLTOT and 3 with additional tendon transfers. Two patients experienced no change in pain. There were noted improvements in the Constant shoulder scores, simple shoulder value, and Disabilities of the Arm, Shoulder, and Hand scores. One patient sustained a fall resulting in stretch injury to the transfer, underwent successful revision surgery, and regained 100° active shoulder external rotation away from the abdomen more than a yea...Continue Reading

References

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Apr 3, 2009·The Journal of Bone and Joint Surgery. American Volume·Bassem ElhassanAlex Shin
Apr 1, 2010·The Journal of Hand Surgery·Jennifer L GiuffreAlexander Y Shin
Jul 9, 2010·The Journal of Hand Surgery·Bassem ElhassanRobert Spinner
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Aug 3, 2012·The Journal of Bone and Joint Surgery. American Volume·Bassem ElhassanRobert J Spinner
Oct 10, 2012·The Journal of Hand Surgery·Joo-Yup LeeAlexander Y Shin

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Citations

Jul 27, 2017·Plastic and Reconstructive Surgery·Brent R DeGeorgeAlexander Y Shin
Oct 27, 2018·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Cody C WylesRobert J Spinner
Dec 14, 2018·Obere Extremität·William R Aibinder, Bassem T Elhassan
Feb 2, 2019·World Journal of Orthopedics·Juan José Gil-ÁlvarezMaría Del Pilar Martínez-Fuentes
Jun 14, 2017·Plastic and Reconstructive Surgery. Global Open·Alessandro ThioneCarlo G Rubi
Jul 2, 2018·Musculoskeletal Surgery·M Le HanneurZ Belkheyar
Aug 8, 2017·Archives of Physical Medicine and Rehabilitation·Chelsea A HarrisKevin C Chung

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