University of Utah, School of Medicine, Salt Lake City, Utah.
Department of Orthopaedic Surgery, University of Utah, Salt Lake City, Utah.
JBJS Case Connect. 2022 Apr 27;12(2). doi: e22.00034. eCollection 2022 Apr 1.
A 70-year-old male patient presented with anterior deltoid weakness from Parsonage-Turner neuropathy status post failed nerve transfer and a failed total shoulder arthroplasty with pseudoparalysis. The patient underwent revision to a reverse total shoulder arthroplasty with concomitant pectoralis major transfer to substitute for the anterior deltoid. An excellent functional result was attained as early as 6 weeks after surgery.
Pectoralis major transfer can be an effective treatment option for isolated anterior deltoid insufficiency, even in the setting of a reverse total shoulder arthroplasty.
一位 70 岁男性患者因 Parsonage-Turner 神经病导致前三角肌无力，先前经历了神经转移失败和全肩关节置换失败伴假性瘫痪。该患者接受了反向全肩关节置换和胸大肌转移修复术，以替代前三角肌。术后 6 周即可获得极好的功能效果。
即使在反向全肩关节置换的情况下，胸大肌转移也是治疗孤立性前三角肌不足的有效选择。
