Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Hand Surgery (European Volume)
This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by SOLOMONS, M.
Right arrow Articles by CVITANICH, M.
Right arrow Search for Related Content
PubMed
Right arrow Articles by SOLOMONS, M.
Right arrow Articles by CVITANICH, M.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Article

A One-Stage Shoulder Arthrodesis and Brooks Seddon Pectoralis Major to Biceps Tendon Transfer for Upper Brachial Plexus Injuries

M. SOLOMONS
M. CVITANICH

The Martin Singer Hand Unit, Groote Schuur Hospital, Department of Orthopaedic Surgery, University of Cape Town, South Africa and Timaru Hospital, New Zealand

Correspondence: Mr. Mark Andrew Cvitanich, MBChB FCOrth, Departmetnt of Orthopaedic Surgery, Timaru Hospital, High Street, Timaru, New Zealand. Tel.: +64 36841387. E-mail:cvits44{at}yahoo.co.uk

Reconstructive procedures to optimise the function of patients with upper brachial plexus injuries are well described. From 1999 to 2005, nine patients underwent a single stage Brooks Seddon pectoralis major to biceps tendon transfer with a glenohumeral arthrodesis for restoration of elbow flexion and shoulder stability. All of these patients had sustained traumatic upper trunk brachial plexus injuries which had not responded to nerve repair, grafting or neurotisation or had a delayed presentation. Results were assessed using a goniometer and the Medical Research Council strength grading. At follow-up of 28.5 months, the average arc of elbow flexion was 103° and eight had good elbow flexion power. There was one failure. We had two complications, both related to humerus fractures below the arthrodesis plate. Both united with conservative treatment. Our experience has given encouraging results with a high level of patient satisfaction. Our indications, operative technique and results are presented.

Key Words: brachial plexus • upper trunk • pectoralis major tendon transfer

Journal of Hand Surgery (European Volume), Vol. 32, No. 1, 18-23 (2007)
DOI: 10.1016/j.jhsb.2006.07.007
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?