Elkwood Andrew I, Rose Michael I, Kaufman Matthew R, Patel Tushar R, Ashinoff Russell L, Saad Adam, Schneider Lisa F, Wimmers Eric G, Abdollahi Hamid, Yu Deborah
The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States.
J Brachial Plex Peripher Nerve Inj. 2018 Dec 31;13(1):e20-e23. doi: 10.1055/s-0038-1676786. eCollection 2018 Jan.
Brachial plexus injuries can be debilitating. We have observed that manual reduction of the patients' shoulder subluxation improves their pain and have used this as a second reason to perform the trapezius to deltoid muscle transfer beyond motion. The authors report a series of nine patients who all had significant improvement of pain in the shoulder girdle and a decrease in pain medication use after a trapezius to deltoid muscle transfer. All patients were satisfied with the outcomes and stated that they would undergo the procedure again if offered the option. The rate of major complications was low. The aim is not to describe a new technique, but to elevate a secondary indication to a primary for the trapezius to deltoid transfer beyond improving shoulder function: pain relief from chronic shoulder subluxation.
臂丛神经损伤可能会使人衰弱。我们观察到手动复位患者的肩关节半脱位可改善其疼痛，并将此作为进行斜方肌至三角肌转移术（超出改善运动功能的范畴）的第二个理由。作者报告了一系列9例患者，他们在接受斜方肌至三角肌转移术后，肩胛带疼痛均有显著改善，且止痛药物的使用量减少。所有患者对治疗结果都很满意，并表示如果有机会，他们愿意再次接受该手术。主要并发症发生率较低。本文目的并非描述一种新技术，而是将斜方肌至三角肌转移术改善慢性肩关节半脱位所致疼痛这一二级指征提升为一级指征，而不仅仅是改善肩部功能。
