title: Restoration of Shoulder Function.
abstract: Restoration of shoulder function in patients with brachial plexus injury can be challenging. Initial reported efforts were focused on stabilizing the shoulder, improving inferior subluxation and restoring abduction and flexion of the joint. Recent advancements and improved understanding of coordinated shoulder motion and the biomechanical properties of the muscles around the shoulder applicable to tendon transfer have expanded available surgical options to improve shoulder function, specifically external rotation. Despite the advances in reconstructive options, brachial plexus injury remains a serious problem that requires complex surgical solutions, prolonged recovery, and acceptance of functional loss.
authors.affiliation: Department of Orthopedic Surgery, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA. Electronic address: Boe.Chelsea@mayo.edu.
authors.forename: Chelsea C
authors.initials: CC
authors.lastname: Boe
authors.affiliation: Department of Orthopedic Surgery, College of Medicine, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.
authors.forename: Bassem T
authors.initials: BT
authors.lastname: Elhassan
mesh_terms: D001696:Biomechanical Phenomena; D001917:Brachial Plexus / Q000293:injuries*; D020516:Brachial Plexus Neuropathies / Q000534:rehabilitation / Q000601:surgery*; D006801:Humans; D008488:Medical Illustration; D016059:Range of Motion, Articular; D020127:Recovery of Function; D012782:Shoulder; D012785:Shoulder Joint / Q000502:physiology* / Q000601:surgery; D013709:Tendon Transfer / Q000379:methods*; D016896:Treatment Outcome
keywords: Brachial plexus injury; External rotation; Global shoulder dysfunction; Lower trapezius; Tendon transfer