medigraphic.com
ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2020, Number 1

<< Back Next >>

Acta Ortop Mex 2020; 34 (1)

Tendon transfers around the shoulder for patient with brachial plexus injury sequels

Guarachi JP, Bernal N, Calvo A, Paccot D, Reinares F

Language: Spanish
References: 13
Page: 58-64
PDF size: 292.09 Kb.


ABSTRACT

Brachial plexus lesions can significantly affect patient function. The type of management will depend on the severity of the injury as well as the anatomical location. Tendon transfers around the shoulder have emerged as an effective treatment alternative, and therefore we should consider them when faced with patients who might require it. There are various transfer techniques, within which the most frequently used are upper trapezium, latissimus dorsi and lower trapezium transfers, each with its specific indications and objectives depending on the type of patient. These surgeries aim to decrease the pain resulting from the hypotonia and glenohumeral subluxation as well as improve the range of movement of the shoulder, getting the patient to take his hand to the plane that requires to perform his daily life activities. We will provide a description of some of the most commonly used shoulder tendon transfer techniques associated with a bibliographic review and a description of our experience with these surgeries.


REFERENCES

  1. Shin AY, Spinner RJ, Steinmann SP, Bishop AT. Adult traumatic brachial plexus injuries. J Am Acad Orthop Surg. 2005; 13: 382-96.

  2. Bertelli JA, Ghizoni MF. Transfer of the accessory nerve to the suprascapular nerve in brachial plexus reconstruction. J Hand Surg. 2007; 32A: 989-98.

  3. Suzuki K, Doi K, Hattori Y, Pagsaligan JM. Long-term results of spinal accessory nerve transfer to the suprascapular nerve in uppertype paralysis of brachial plexus injury. J Reconstr Microsurg. 2007; 23: 295-9.

  4. Elhassan B, Bishop A, Shin A, Spinner R. Shoulder tendon transfer options for adult patients with brachial plexus injury. J Hand Surg. 2010; 35A: 1211-19.

  5. Narakas AO. Muscle transposition in the shoulder and upper arm for sequelae of brachial plexus palsy. Clin Neurol Neurosurg. 1993; 95(Suppl): 89-91.

  6. Altmann S, Fansa H, Schneider W. Transfer of trapezius muscle for reconstruction of abduction of the shoulder. Orthopade. 2006; 35: 450-451, 453-5.

  7. Saha AK. Surgery of the paralyzed and flail shoulder. Acta Orthop Scand. 1967; 97: 5-90.

  8. Rühmann O, Kohn D, Bohnsack M. Modifizierte Technik der Verpflanzung des Musculus trapezius zur Funktionsverbesserung bei Armplexusschäden. Oper Orthop Traumatol. 2008; 20: 25-37.

  9. Waters PM. Update on the management of pediatric brachial plexus palsy. J Pediatr Orthop. 2005; 14B: 233-44.

  10. Ghosh S, Singh VK, Jeyaseelan L, Sinisi M, Fox M. Isolated latissimus dorsi transfer to restore shoulder external rotation in adults with brachial plexus injury. Bone Joint J. 2013; 95-B: 660-3.

  11. Elhassan B, Bishop AT, Shin A. Trapezius transfer to restore external rotation in a patient with brachial plexus injury: a case report. J Bone Joint Surg. 2009; 91A: 939-44.

  12. Elhassan B. Lower trapezius transfer for shoulder external rotation in patients with paralytic shoulder. J Hand Surg Am. 2014; 39 (3): 556-62.

  13. Elhassan B, Alentorn-Geli E, Assenmacher AT, Wagner ER. Arthroscopic-assisted lower trapezius tendon transfer for massive irreparable posterior-superior rotator cuff tears: surgical technique. Arthrosc Tech. 2016; 5 (5): 981-8.




2020     |     www.medigraphic.com