Modified Latissimus Dorsi and Teres Major Transfer for External Rotation Deficit of the Shoulder

Orthopedics ◽  
1986 ◽  
Vol 9 (4) ◽  
pp. 505-506
Author(s):  
Ronald K Freund ◽  
Julia K Terzis ◽  
Louis Jordan ◽  
Gervas Taylor
Keyword(s):  
Latissimus Dorsi ◽  
External Rotation ◽  
Teres Major

FUNCTIONAL RECONSTRUCTION OF THE IRREPARABLE UPPER TRUNK DEFECT OF THE BRACHIAL PLEXUS — A CASE REPORT

Hand Surgery ◽  
2004 ◽  
Vol 09 (01) ◽  
pp. 125-129 ◽  
Author(s):  
Liang Chen ◽  
Yu-dong Gu ◽  
Shao-nan Hu
Keyword(s):  
Case Report ◽  
Brachial Plexus ◽  
Latissimus Dorsi ◽  
External Rotation ◽  
Elbow Flexion ◽  
Functional Reconstruction ◽  
Teres Major

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.

Tendon transfer for treatment of internal rotation contracture of the shoulder in brachial plexus birth palsy

2012 ◽  
Vol 37 (8) ◽  
pp. 781-786 ◽  
Author(s):  
H. Abdel-Ghani ◽  
K. A. Hamdy ◽  
N. Basha ◽  
Y. N. Tarraf
Keyword(s):  
Brachial Plexus ◽  
Latissimus Dorsi ◽  
External Rotation ◽  
Grading System ◽  
Latissimus Dorsi Transfer ◽  
Brachial Plexus Birth Palsy ◽  
Teres Major ◽  
Birth Palsy ◽  
Group B ◽  
Transfer Group

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.

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