title: Muscle transpositions in the shoulder and upper arm for sequelae of brachial plexus palsy.
abstract: 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.
authors: Clinique Longeraie for Reconstructive Surgery, Lausanne, Switzerland.
authors: A O
authors: AO
authors: Narakas
mesh_terms: D001917:Brachial Plexus / Q000293:injuries* / Q000503:physiopathology / Q000601:surgery; D004550:Elbow / Q000294:innervation*; D006801:Humans; D009119:Muscle Contraction / Q000502:physiology; D009132:Muscles / Q000637:transplantation*; D010243:Paralysis / Q000503:physiopathology / Q000601:surgery*; D016059:Range of Motion, Articular / Q000502:physiology; D012782:Shoulder / Q000294:innervation*; D013709:Tendon Transfer / Q000379:methods*