Transfer of latissmus dorsi and teres major tendons without subscapularis release for the treatment of obstetrical brachial plexus palsy sequela

Ozben H., Atalar A. C., Bilsel K., Demirhan M.

JOURNAL OF SHOULDER AND ELBOW SURGERY, vol.20, no.8, pp.1265-1274, 2011 (SCI-Expanded) identifier identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 20 Issue: 8
  • Publication Date: 2011
  • Doi Number: 10.1016/j.jse.2011.01.004
  • Journal Name: JOURNAL OF SHOULDER AND ELBOW SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.1265-1274
  • Keywords: Brachial, plexus, palsy, shoulder, tendon, transfer, Mallet, BIRTH PALSY, SHOULDER RECONSTRUCTION, GLENOHUMERAL DEFORMITY, SECONDARY, PARALYSIS
  • Acibadem Mehmet Ali Aydinlar University Affiliated: No

Abstract

Background: Patients with obstetrical brachial plexus palsy (OBPP) sequela exhibit adduction and internal rotation contractures. The muscular imbalance may result in secondary bony changes. Tendon transfers and muscular releases may improve shoulder function in these patients. The aim of this study is to evaluate the functional and radiological results of pectoralis major tendon Z-plasty with transfer of latissimus dorsi and teres major tendons to rotator cuff tendons without release of subscapularis muscle in patients with mild sequela of OBPP.