TRAPEZIUS TRANSFER IN TRAUMATIC BRACHIAL PLEXUS PALSY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 39
Abstract
BACKGROUND Traumatic brachial plexus injuries can cause total or partial loss of function of the upper limb. The loss of functional movements in the shoulder impairs the function of the entire upper limb even if there is functional movement in other joints like the elbow, wrist, and fingers. Various procedures like tendon transfers, neurotisation or arthrodesis are available to improve the function of the shoulder. The aim of this study is to evaluate the results of the trapezius transfer for reconstruction of shoulder motion in adult patients with longstanding traumatic brachial plexus injuries. MATERIALS AND METHODS This study was done in a tertiary care institution and included 42 traumatic brachial plexus injury patients who underwent trapezius transfer for restoration of shoulder abduction and forward flexion during a period of eighteen months from August 2014 to July 2016. All patients underwent a modified Bateman, Saha method. Those who had inadequate or incomplete records and those who were not on regular follow-up were excluded from our study. The records of these patients were reviewed in March 2017 and the shoulder function and stability were re-evaluated clinically and results tabulated. RESULTS The shoulder function was improved in 35 patients. The average gain in shoulder abduction was 40.68° (Range 0° to 90°) and the average gain in shoulder forward flexion was 35.36° (Range 10° to 75°). 92.86% of the patients had their inferior subluxation of the humerus corrected radiographically. The average gain in postoperative range of motion was similar to those achieved in other large series studies. CONCLUSION The transfer of trapezius is a simple procedure which can restore the abduction and forward flexion of shoulder in majority of the patients
Authors and Affiliations
Ashik Ahamed R, Ramadevi V
Keywords
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- EP ID EP213198
- DOI 10.14260/Jemds/2017/683
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