1. Surgical Technique: Lower Trapezius Transfer in Paediatric Paralytic Shoulder
- Author
-
Philippe Valenti, Efi Kazum, Julieta Puig Dubois, and Jean-David Werthel
- Subjects
musculoskeletal diseases ,medicine.medical_specialty ,Shoulder ,medicine.medical_treatment ,Infraspinatus muscle ,03 medical and health sciences ,0302 clinical medicine ,Tendon transfer ,medicine ,Humans ,Brachial Plexus ,Range of Motion, Articular ,Nerve repair ,Brachial Plexus Neuropathies ,Child ,Nerve Transfer ,Nerve reconstruction ,030222 orthopedics ,business.industry ,Shoulder Joint ,030229 sport sciences ,medicine.disease ,Surgery ,External rotation ,Brachial plexus injury ,Superficial Back Muscles ,Trapezius muscle ,business ,human activities - Abstract
The therapeutic management of the paralytic shoulder after an obstetric brachial plexus injury is complex. When nerve repair or neurotization fail, or if the biological times for nerve reconstruction is over, tendon transfer to restore active external rotation of the shoulder becomes the main surgical alternative. The purpose of this manuscript is to describe the surgical technique of the lower trapezius muscle transfer to the infraspinatus muscle, to restore active shoulder external rotation in the child with paralytic shoulder, step by step with details and pearls.
- Published
- 2021