Comparative anatomy of the subscapularis, teres major and latissimus dorsi muscles from salamanders to mammals with special reference to their innervations from the brachial plexus

Author(s):  
Masahiro Koizumi
Hand Surgery ◽  
2004 ◽  
Vol 09 (01) ◽  
pp. 125-129 ◽  
Author(s):  
Liang Chen ◽  
Yu-dong Gu ◽  
Shao-nan Hu

We report a successful application of Oberlin's procedure combined with transfer of trapezius and latissimus dorsi with the teres major for reconstruction of elbow flexion as well as abduction and external rotation of the shoulder to a ten-year-old patient, who had a long defect of the left brachial plexus upper trunk caused by resection of the plexiform neuroma.


2012 ◽  
Vol 37 (8) ◽  
pp. 781-786 ◽  
Author(s):  
H. Abdel-Ghani ◽  
K. A. Hamdy ◽  
N. Basha ◽  
Y. N. Tarraf

We retrospectively analyzed 63 patients with internal rotation contracture of the shoulder secondary to brachial plexus birth palsy treated with subscapularis sliding combined with either latissimus dorsi transfer (group A: n = 18) or latissimus dorsi and teres major transfer (group B: n = 45) to the rotator cuff. The mean age at time of surgery was 43 months (SD 21 months; range 8 months to 9 years). We used a modification of the Gilbert shoulder grading system for assessment. All patients showed statistically significant improvement of active shoulder abduction and external rotation without significant differences between the two groups. Significant external rotation contracture of the shoulder (inability to touch the abdomen with the wrist extended) occurred in 42 of 63 patients, and there was a greater incidence of external rotation contracture in group B. We conclude that surgery should be restricted to latissimus dorsi transfer without teres major transfer to avoid external rotation contractures. Our modification of the Gilbert grading system appears to be valid and applicable.


2017 ◽  
Vol 21 (04) ◽  
pp. 359-375
Author(s):  
Robert Boutin ◽  
Russell Fritz

AbstractMuscle and tendon injuries about the shoulder and upper arm are commonly evaluated and characterized with magnetic resonance imaging. This article reviews our experience with abnormalities of the rotator cuff tendons and muscles as well as the deltoid muscle in the shoulder. We discuss and illustrate abnormalities of the upper arm such as strain injuries of the pectoralis major, strain injuries of the teres major and latissimus dorsi, and contusion and crush injuries of the biceps and brachialis muscles in the upper arm.


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