Brachial plexus birth palsies. Results of tendon transfers to the rotator cuff.

Hoffer, M. Mark; Wickenden, R; Roper, Brian A.

doi:10.2106/00004623-197860050-00019

Cited by 227 publications

(142 citation statements)

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“…The combined RSA and tendon transfer is performed in the same operative session through a single deltopectoral approach with the patient in the beach chair position, obviating the need to place the patient in the lateral position and another posterior approach to harvest the tendons [12,13,15,28,31,38,40,49]. The deltopectoral approach makes the identification, dissection, and transfer of the LD/ TM tendons relatively simple and safe, because the tendons are located at the medial border of the humerus immediately behind the pectoralis major tendon.…”

Section: Discussionmentioning

confidence: 99%

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Reverse Shoulder Arthroplasty Combined with a Modified Latissimus Dorsi and Teres Major Tendon Transfer for Shoulder Pseudoparalysis Associated with Dropping Arm

Boileau

Chuinard

Roussanne

et al. 2008

Clinical Orthopaedics &Amp; Related Research

197

146

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Although a reverse shoulder arthroplasty (RSA) can restore active elevation in the cuff deficient shoulder, it cannot restore active external rotation when both the infraspinatus and teres minor muscles are absent or atrophied. We hypothesized that a latissimus dorsi and teres major (LD/TM) transfer with a concomitant RSA would restore shoulder function and activities of daily living (ADLs). We prospectively followed 11 consecutive patients (mean age, 70 years) with a combined loss of active elevation and external rotation (shoulder pseudoparalysis and dropping arm) who underwent this procedure. All had severe cuff tear arthropathy (Hamada Stage 3, 4, or 5) and severe atrophy or fatty infiltration of infraspinatus and teres minor on preoperative MRI or CT-scan.

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Section: Discussionmentioning

confidence: 99%

“…1). Although external rotation deficit can be successfully treated with a tendon transfer, such a muscle transfer alone may be inadequate to power external rotation and elevation with such global dysfunction, and is contraindicated when arthritic changes are present [12,13,15,20,28,31,38,40,49].…”

Section: Introductionmentioning

confidence: 99%

Reverse Shoulder Arthroplasty Combined with a Modified Latissimus Dorsi and Teres Major Tendon Transfer for Shoulder Pseudoparalysis Associated with Dropping Arm

Boileau

Chuinard

Roussanne

et al. 2008

Clinical Orthopaedics &Amp; Related Research

197

146

View full text Add to dashboard Cite

show abstract

“…Hoffer et al [20] used tmm in the technique to improve active outward rotation of the shoulder. They listed the indications for this when the flexors and abductors of the shoulder are weak against gravity, and when tmm shows cocontraction during active abduction of the shoulder.…”

Section: Discussionmentioning

confidence: 99%

Bidirectional Double Muscle Transfer to Restore Shoulder Abduction and External Rotation in Late Obstetric Brachial Plexus Injuries

Ahmad¹

2014

Surgery Curr Res

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“…17,21,22 Por una vía axilar inferior 23,24 se accede perfectamente al tendón conjunto del redondo mayor y dorsal ancho, que se desinserta (quitando el factor deformante), y se transfiere junto o separadamente al troquiter (donde se inserta el manguito rotador) para ganar elevación y rotación externa. 25,26 La liberación "anterior" puede ser extra-articular 21 o intra-articular (capsulotomía) 22 dependiendo de Tipo I: Alineación normal (retroversión glenoidea <5º de diferencia con respecto a la contralateral).…”

Section: Tratamiento Quirúrgico Y Sus Posibles Combinacionesunclassified

Conceptos actuales en la parálisis braquial perinatal. Parte 2: etapa tardía. Deformidades en hombro

Dogliotti¹

2011

Arch Argent Pediat

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RESUMENLa parálisis braquial tiene una incidencia relativamente alta, y sus secuelas son habituales. La rehabilitación, la microcirugía y las cirugías paliativas sobre partes blandas y huesos son utilizadas en forma conjunta. La postura más común del hombro es rotación interna y aducción, debido a la parálisis de los músculos antagonistas. El desequilibrio mantenido de fuerzas musculares sobre el sistema osteoarticular, determinará una deformidad progresiva glenohumeral que se estudia con resonancia magnética nuclear. La transferencia del dorsal ancho y redondo mayor al troquiter tiene buenos resultados, pero debe adelantarse y combinarse con liberación antero-inferior, si existe limitación de la movilidad pasiva. Palabras clave: secuela de parálisis braquial obsté-trica, parálisis obstétrica en etapa secuelar, secuela en parálisis braquial, displasia glenohumeral, transferencia tendinosa en hombro. ABSTRACTThe incidence of obstetric brachial palsy is high and their sequelaes are frequent. Physiotherapy, microsurgical nerve reconstruction and secondary corrections are used together to improve the shoulder function. The most common posture is shoulder in internal rotation and adduction, because of the antagonist weakness. The muscle forces imbalance over the osteoarticular system, will result in a progressive glenohumeral joint deformity which can be recognized with a magnetic resonance image. Tendon transfers of the internal rotators towards the external abductor/rotator muscles, has good results, but has to be combined with antero-inferior soft-tissue releases, if passive range of motion is limited. Key words: brachial plexus birth palsy, obstetrical palsy sequelae, shoulder sequelae in obstetric brachial plexus palsy, glenohumeral joint deformity, tendon transfer arround the shoulder.

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Brachial plexus birth palsies. Results of tendon transfers to the rotator cuff.

Cited by 227 publications

References 0 publications

Reverse Shoulder Arthroplasty Combined with a Modified Latissimus Dorsi and Teres Major Tendon Transfer for Shoulder Pseudoparalysis Associated with Dropping Arm

Reverse Shoulder Arthroplasty Combined with a Modified Latissimus Dorsi and Teres Major Tendon Transfer for Shoulder Pseudoparalysis Associated with Dropping Arm

Bidirectional Double Muscle Transfer to Restore Shoulder Abduction and External Rotation in Late Obstetric Brachial Plexus Injuries

Conceptos actuales en la parálisis braquial perinatal. Parte 2: etapa tardía. Deformidades en hombro

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