Shoulder Tendon Transfer Options for Adult Patients With Brachial Plexus Injury

Bassem Elhassan, Allen Thorp Bishop, Alexander Yong-Shik Shin, Robert Spinner

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Enhancement of upper-extremity function, specifically shoulder function, after brachial plexus injury requires a good understanding of nerve repair and transfer, with their expected outcome, as well as shoulder anatomy and biomechanics enabling the treating surgeon to use available functioning muscles around the shoulder for transfer, to improve shoulder function. Surgical treatment should address painful shoulder subluxation in addition to improvement of function. The literature focuses on improving shoulder abduction, but improving shoulder external rotation should take priority because this function, even if isolated, will allow patients to position their hand in front of their body. With a functional elbow and hand, patients will be able to do most activities of daily living. The lower trapezius has been shown to be a good transfer to restore external rotation of the shoulder. Other parts of the trapezius, levator scapulae, rhomboids, and, when available, the latissimus dorsi, pectoralis major, teres major, biceps, triceps, and serratus anterior muscles can all be used to replace the rotator cuff and deltoid muscle function. To optimize the results, a close working relationship is required between surgeons reconstructing brachial plexus injury and shoulder specialists.

Original languageEnglish (US)
Pages (from-to)1211-1219
Number of pages9
JournalJournal of Hand Surgery
Volume35
Issue number7
DOIs
StatePublished - Jul 2010

Fingerprint

Arm Injuries
Tendon Transfer
Brachial Plexus
Superficial Back Muscles
Hand
Nerve Transfer
Deltoid Muscle
Muscles
Rotator Cuff
Activities of Daily Living
Elbow
Biomechanical Phenomena
Upper Extremity
Anatomy

Keywords

  • Brachial plexus
  • latissimus
  • pectoralis
  • tendon transfer
  • trapezius

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Shoulder Tendon Transfer Options for Adult Patients With Brachial Plexus Injury. / Elhassan, Bassem; Bishop, Allen Thorp; Shin, Alexander Yong-Shik; Spinner, Robert.

In: Journal of Hand Surgery, Vol. 35, No. 7, 07.2010, p. 1211-1219.

Research output: Contribution to journalArticle

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