title: Anterior glenohumeral joint stabilization in tetraplegic patients by medializing the anterior head of deltoid muscle.
abstract: To improve control of the upper limb in high-level tetraplegic patients, the proximal shoulder must be the first consideration. Medialization of the anterior part of the deltoid muscle provides stabilization and is then an antagonist to the posterior deltoid when a pectoralis major palsy exists. It can also be performed in isolation in high-level tetraplegia even when there is little hope of distal extremity reconstruction to stabilize the shoulder. It also precedes the ability to restore elbow extension and perform further reconstructive hand surgery. We describe the surgical technique and report a clinical case.
authors.affiliation: Department of Orthopedic Surgery, Hospital of Saint-Pierre, University of La Réunion Island, Saint-Pierre, La Réunion Island; Laboratoire DIMPS, Le Tampon, Ile de La Réunion; Centre Mutualiste Neurologique Propara and the Hand and Upper Limb Institute, Montpellier, France. Electronic address: richardballas@yahoo.fr.
authors.forename: Richard
authors.initials: R
authors.lastname: Ballas
authors.affiliation: Department of Orthopedic Surgery, Hospital of Saint-Pierre, University of La Réunion Island, Saint-Pierre, La Réunion Island; Laboratoire DIMPS, Le Tampon, Ile de La Réunion; Centre Mutualiste Neurologique Propara and the Hand and Upper Limb Institute, Montpellier, France.
authors.forename: Charles
authors.initials: C
authors.lastname: Fattal
authors.affiliation: Department of Orthopedic Surgery, Hospital of Saint-Pierre, University of La Réunion Island, Saint-Pierre, La Réunion Island; Laboratoire DIMPS, Le Tampon, Ile de La Réunion; Centre Mutualiste Neurologique Propara and the Hand and Upper Limb Institute, Montpellier, France.
authors.forename: Jacques
authors.initials: J
authors.lastname: Teissier
mesh_terms: D016025:Bone Transplantation; D002968:Clavicle / Q000601:surgery; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D008297:Male; D018482:Muscle, Skeletal / Q000601:surgery*; D011782:Quadriplegia; D020127:Recovery of Function; D012785:Shoulder Joint / Q000601:surgery*; D034941:Upper Extremity / Q000601:surgery; D055815:Young Adult
keywords: Tetraplegia; deltoid; elbow paralysis; shoulder paralysis; tendon transfer