Muscle transpositions in the shoulder and upper arm for sequelae of brachial plexus palsy

• Published in: Clinical neurology and neurosurgery Vol. 95; pp. 89 - 91
• Main Author: Narakas, A.O.
• Format: Journal Article Conference Proceeding
• Language: English
• Published: Amsterdam Elsevier B.V 1993; Elsevier Science
• Subjects: Biological and medical sciences; Brachial Plexus - injuries; Brachial Plexus - physiopathology; Brachial Plexus - surgery; Elbow - innervation; Elbow function; Humans; Injuries of the nervous system and the skull. Diseases due to physical agents; Medical sciences; Muscle Contraction - physiology; Muscles - transplantation; Musculotendinous transfers; Paralysis - physiopathology; Paralysis - surgery; Range of Motion, Articular - physiology; Sequelae; Shoulder - innervation; Shoulder function; Tendon Transfer - methods; Traumas. Diseases due to physical agents; Musculotendinous transfers; Brachial plexus injuries; Sequelae; Shoulder function; Elbow function
• ISSN: 0303-8467; 1872-6968
• DOI: 10.1016/0303-8467(93)90042-F

Permanent deficiency in abduction and external rotation of the arm seen after brachial plexus injury may be corrected by a levator scapulae transposition onto the supraspinatus, while the teres major, associated or not with latissimus dorsi, is transferred onto the infraspinatus muscle. Transposed in a bipolar manner, the latissimus may compensate the deltoid muscle. Associated measures have to be carried out in children with deformities caused by obstetrical palsy. A paralysed serratus anterior is best compensated by a transfer of.the pectoralis major together with pectoralis minor muscle.