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Lower Trapezius Muscle Transfer for Reconstruction of Elbow Extension in Brachial Plexus InjuriesFrom the Department of Orthopedic Surgery, Governador Celso Ramos Hospital, Florianópolis, SC, Brazil and the Center of Biological and Health Sciences, University of Southern Santa Catarina (Unisul), Tubarão, SC, Brazil Correspondence: Jayme A. Bertelli, MD, PhD, Praça Getulio Vargas, 322, Florianópolis, SC, 88020030, Brazil. Fax: +55 48-2224028. E-mail:bertelli{at}matrix.com.br. Elbow extension is a prerequisite for adequate hand position. Muscle transfers are often employed in partial injuries of the brachial plexus, when neurological surgery is unlikely to achieve desired results. The posterior deltoid and latissimus dorsi are the two muscles most commonly used for transfer but there are few alternatives when these two muscles are paralysed. We now report on the successful transfer of the lower trapezius muscle to reconstruct triceps function in three patients with longstanding lesions of the brachial plexus that had not been previously treated surgically.
Key Words: brachial plexus injury • lower trapezius muscle • muscle transfer • triceps palsy
This version was published on August
1, 2009 Journal of Hand Surgery (European Volume), Vol. 34, No. 4,
459-464 (2009) This article has been cited by other articles:
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