TRAPEZIUS TRANSFER IN TRAUMATIC BRACHIAL PLEXUS PALSY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 39
Abstract
BACKGROUND Traumatic brachial plexus injuries can cause total or partial loss of function of the upper limb. The loss of functional movements in the shoulder impairs the function of the entire upper limb even if there is functional movement in other joints like the elbow, wrist, and fingers. Various procedures like tendon transfers, neurotisation or arthrodesis are available to improve the function of the shoulder. The aim of this study is to evaluate the results of the trapezius transfer for reconstruction of shoulder motion in adult patients with longstanding traumatic brachial plexus injuries. MATERIALS AND METHODS This study was done in a tertiary care institution and included 42 traumatic brachial plexus injury patients who underwent trapezius transfer for restoration of shoulder abduction and forward flexion during a period of eighteen months from August 2014 to July 2016. All patients underwent a modified Bateman, Saha method. Those who had inadequate or incomplete records and those who were not on regular follow-up were excluded from our study. The records of these patients were reviewed in March 2017 and the shoulder function and stability were re-evaluated clinically and results tabulated. RESULTS The shoulder function was improved in 35 patients. The average gain in shoulder abduction was 40.68° (Range 0° to 90°) and the average gain in shoulder forward flexion was 35.36° (Range 10° to 75°). 92.86% of the patients had their inferior subluxation of the humerus corrected radiographically. The average gain in postoperative range of motion was similar to those achieved in other large series studies. CONCLUSION The transfer of trapezius is a simple procedure which can restore the abduction and forward flexion of shoulder in majority of the patients
Authors and Affiliations
Ashik Ahamed R, Ramadevi V
Keywords
Related Articles
- EP ID EP213198
- DOI 10.14260/Jemds/2017/683
- Views 83
- Downloads 0
MANAGEMENT OF DIAPHYSEAL FRACTURES OF TIBIA IN ADULTS TREATED EITHER WITH CAST OR INTRAMEDULLARY NAILING WITH SPECIAL REFERENCE TO ENDERS NAIL
Fractures of the tibial shaft are important for the reason that they are common and controversial. The exposed anatomical location of the tibia makes it vulnerable to the direct blow and high energy trauma as a...
A STUDY ON THE PATTERN OF FUNGI CAUSING ONYCHOMYCOSIS IN A TERTIARY CARE HOSPITAL IN IMPHAL
BACKGROUND Onychomycosis is a fungal infection of the nails. It is caused by dermatophytes, non-dermatophytes and yeasts. In spite of improved personal hygiene and living condition, it continues to persist and poses a ma...
THE STUDY OF DEMOGRAPHIC PROFILE OF CONDUCTION DEFECTS IN ACUTE MYOCARDIAL INFARCTION
BACKGROUND Arrhythmias that develop at the time of acute myocardial infarction, and during its treatment are one of the major causes of death in a patient with acute coronary syndrome. Acute myocardial infarction is beco...
A STUDY ON NEONATAL HEARING LOSS USING TRANSIENT EVOKED OTOACOUSTIC EMISSIONS
Deafness is an invisible disability that may often go undetected until school age, especially in children with no additional disabilities. It affects the social, emotional and cognitive development of an individua...
SEROPOSITIVITY OF IgM DENGUE (ELISA) AMONG SUSPECTED CASES OF DENGUE- A STUDY FROM TERTIARY CARE CENTRE IN PUNJAB
BACKGROUND Dengue fever is the most common cause of arboviral disease worldwide. In India and other tropical countries, it remains an important differential diagnosis for a febrile illness. The disease burden is growing...