Functional integrity of the shoulder joint and pectoralis major following subpectoral implant breast reconstruction

Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society
Joshua M LeonardisDavid B Lipps

Abstract

Subpectoral implants for breast reconstruction after mastectomy requires the surgical disinsertion of the sternocostal fiber region of the pectoralis major. This technique is associated with significant shoulder strength and range of motion deficits, but it is unknown how it affects the underlying integrity of the shoulder joint or pectoralis major. The aim of this study was to characterize the long-term effects of this reconstruction approach on shoulder joint stiffness and pectoralis major material properties. Robot-assisted measures of shoulder strength and stiffness and ultrasound shear wave elastography images from the pectoralis major were acquired from 14 women an average of 549 days (range: 313-795 days) post reconstruction and 14 healthy, age-matched controls. Subpectoral implant patients were significantly weaker in shoulder adduction (p < 0.001) and exhibited lower shoulder stiffness when producing submaximal adduction torques (p = 0.004). The underlying material properties of the clavicular fiber region of the pectoralis major were altered in subpectoral implant patients, with significantly reduced shear wave velocities in the clavicular fiber region of the pectoralis major when generating adduction torques (p = 0.0...Continue Reading

References

Jan 1, 1985·Biological cybernetics·N Hogan
Jul 1, 1996·Experimental Brain Research·J McIntyreE Bizzi
Nov 14, 1997·Journal of Shoulder and Elbow Surgery·D K KuechleK N An
Dec 1, 1991·Arthritis Care and Research : the Official Journal of the Arthritis Health Professions Association·K E RoachY Lertratanakul
May 12, 2001·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·A M HalderK N An
Jun 19, 2001·Journal of Motor Behavior·D Rancourt, N Hogan
Nov 21, 2001·Experimental Brain Research·E J PerreaultP E Crago
Jul 26, 2003·The Journal of the Acoustical Society of America·Jean-Luc GennissonMathias Fink
May 14, 2004·IEEE Transactions on Ultrasonics, Ferroelectrics, and Frequency Control·Jérémy BercoffMathias Fink
Feb 24, 2005·Journal of Shoulder and Elbow Surgery·Joanne E LabriolaPatrick J McMahon
Jun 1, 2005·Plastic and Reconstructive Surgery·Scott L Spear, Christopher L Hess
Aug 5, 2005·Annals of Biomedical Engineering·Katherine R S HolzbaurScott L Delp
Aug 11, 2005·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·N Pouliart, O Gagey
Jan 16, 2007·Journal of Biomechanics·H E J Veeger, F C T van der Helm
Aug 12, 2008·Journal of Anatomy·David C AcklandMarcus G Pandy
Apr 28, 2010·Ultrasound in Medicine & Biology·Jean-Luc GennissonMickaël Tanter
Feb 4, 2011·Journal of Neurophysiology·Xiao HuEric J Perreault
Mar 1, 2012·Physiological Measurement·Lilian LacourpailleAntoine Nordez
Oct 20, 2012·British Journal of Sports Medicine·Alexis A WrightEric J Hegedus
Dec 29, 2012·Plastic and Reconstructive Surgery·Claudia R AlbornozEvan Matros
May 31, 2013·Physiological Measurement·L A ChernakD G Thelen
Jun 14, 2013·The Breast Journal·Tina Hernandez-BoussardCatherine Curtin
Feb 20, 2014·Journal of Clinical Oncology : Official Journal of the American Society of Clinical Oncology·Reshma JagsiBenjamin D Smith
Nov 20, 2014·JAMA Surgery·Kristy L KummerowMary A Hooks
Feb 2, 2015·Clinical Biomechanics·Sabrina S M LeeWilliam Z Rymer
Oct 23, 2015·Clinical Biomechanics·Sabrina S M LeeKatherine M Steele
May 14, 2016·Head & Neck·Joel W J RefosRemco de Bree
Jan 26, 2017·Plastic and Reconstructive Surgery·Steven SigaloveAllen Gabriel

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Citations

Jun 9, 2020·Breast Cancer Research and Treatment·Meghan E VidtKathryn H Schmitz
Dec 15, 2020·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Tea Lulic-KurylloClark R Dickerson
May 20, 2021·Journal of Anatomy·Cheryl A SetlockDavid B Lipps

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