Single-incision Eden-Lange procedure in trapezius muscle paralysis: A report of 11 cases

Abstract

ObjectiveThe aim of this study was to evaluate the outcome of single-incision Eden-Lange procedure in trapezius muscle paralysis.MethodsThe medical records of 11 patients (3 females and 8 males); mean age: 41 (25–59) years with trapezius muscle paralysis who underwent Eden-Lange procedure in our Center, between February 2009 and April 2013, were retrospectively analyzed. The clinical outcomes were evaluated with the American Shoulder and Elbow Surgeons Shoulder (ASES) score and visual analogue scale (VAS).ResultsThe mean duration of symptoms before surgery was 10.18 months. The average duration of follow-up was 33.5 (24–48) months. The mean VAS score improved from 7.8 to 1.6 points (p < 0.05). The total ASES improved from 32.8 to 82.1 points (p < 0.05). The mean range of motion in forward elevation and abduction increased significantly from 121.80 to 154.40 (p < 0.05) and 80.00 to 148.18° (p < 0.05), respectively.ConclusionSingle incision Eden-Lange procedure appears to be a safe and effective treatment option for the patients with trapezius muscle paralysis.Level of evidenceLevel IV, therapeutic study.

The Modified Eden-Lange Tendon Transfer for Lateral Scapular Winging Secondary to Spinal Accessory Nerve Injury

“…Although the study results are impressive, these shortcomings leave a few important questions unanswered in determining its superiority over other modified techniques, and the triple tendon transfer adds an additional level of complexity to an already challenging and complex procedure. By way of example, a recent series by Amroodi and Salariyeh 21 using a single-incision classic Eden-Lange technique in 11 patients produced similarly excellent results; however, surgical intervention in the patients occurred at a significantly earlier time point after injury and the indications were poorly defined.…”

“…The Eden-Lange muscle transfer can alleviate pain, improve range of motion, and restore the functional capacity and balance of the shoulder girdle. 5 , 13 , 14 , 15 , 16 , 17 , 18 , 19 , 20 , 21 , 22 …”

“… 13 , 15 Recent technical advances have shown good to excellent outcomes in case reports and small case series. 16 , 18 , 19 , 20 , 21 …”

Modified Eden-Lange procedure for iatrogenic lateral scapular winging

“…The modified and standard Eden-Lange procedure has been proven to successfully remove the scapular wing by restoring the main action of the trapezius muscle. From Amroodi et al, The results of the Eden-Lange procedure for a single incision in trapezius muscle paralysis from 11 patients increased from 32.8 to 82.1 points which concluded with a single incision Eden-Lange procedure seems to be a safe and effective treatment option for patients with trapezius muscle paralysis [ 3 , 14 ].…”

“…The diagnosis is difficult and maybe commonly missed as a result of the examining physician’s failure to remove the patient’s garments and inspect the back during an examination. Due to the limited number of published cases have made their treatment still controversial [ [1] , [2] , [3] , [4] ].…”