title: Trapezius transfer for shoulder paralysis. 6 patients with brachial plexus injuries followed for 1 year.
abstract: We transferred the trapezius with its bone insertion to the proximal humerus in 6 patients for treatment of a paralytic shoulder secondary to traumatic lesions of the brachial plexus. After 1 year, the shoulder abduction was improved from average 13 degrees (0 degrees-30 degrees) preoperatively to 76 degrees (50 degrees-100 degrees) postoperatively, and the shoulder flexion from 18 degrees (0 degrees-40 degrees) to 78 degrees (45 degrees-110 degrees) postoperatively. All the patients were satisfied with the outcome. We consider that transfer of the trapezius in a paralytic shoulder after brachial plexus injury gives a better outcome than shoulder fusion.
authors.affiliation: Hospital Traumatologia C.S. Vall d'Hebron, Barcelona, Spain.
authors.forename: X
authors.initials: X
authors.lastname: Mir-Bullo
authors.forename: P
authors.initials: P
authors.lastname: Hinarejos
authors.forename: P
authors.initials: P
authors.lastname: Mir-Batlle
authors.forename: R
authors.initials: R
authors.lastname: Busquets
authors.forename: L
authors.initials: L
authors.lastname: Carrera
authors.forename: A
authors.initials: A
authors.lastname: Navarro
mesh_terms: D000328:Adult; D001917:Brachial Plexus / Q000293:injuries*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D018482:Muscle, Skeletal / Q000294:innervation / Q000637:transplantation*; D010166:Palliative Care; D010243:Paralysis / Q000601:surgery*; D016059:Range of Motion, Articular; D012782:Shoulder / Q000294:innervation*; D012785:Shoulder Joint / Q000502:physiology; D013709:Tendon Transfer / Q000379:methods*