Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Department of Orthopedics & Traumatology, Royal Prima General Hospital, Medan 20118, Indonesia.
Medicina (Kaunas). 2023 Oct 12;59(10):1817. doi: 10.3390/medicina59101817.
: Concomitant nerve injuries with musculoskeletal injuries present a challenging problem. The goals of nerve reconstruction for the shoulder include shoulder abduction and external rotation. When patients fail to achieve acceptable shoulder external rotation and shoulder abduction, tendon transfers such as trapezius transfer offer a reliable option in the subsequent stage. : A 32-year-old male presented with weak external rotation in his left shoulder, after previous axillary nerve reconstruction. He received the ipsilateral lower trapezius transfer with the aim of improving the external rotation. : The lower trapezius restores a better joint reaction force in both the compressive-distractive and anterior-posterior balancing and provides a centering force through the restoration of the anterior-posterior force couple. : We believe that the ipsilateral lower trapezius transfer to the infraspinatus is a good outcome and is effective in improving overall shoulder stability and the shoulder external rotation moment arm or at least maintaining in neutral position with the arm fully adducted in patients with post axillary nerve injuries post unsatisfactory nerve reconstruction to increase the quality of life and activities of daily living.
伴随肌肉骨骼损伤的神经损伤是一个具有挑战性的问题。肩部神经重建的目标包括肩部外展和外旋。当患者无法实现可接受的肩部外旋和肩部外展时，肌腱转移（如斜方肌转移）是后续阶段的可靠选择。
一名 32 岁男性，在先前的腋神经重建后，出现左侧肩部外旋无力。他接受了同侧下斜方肌转移，旨在改善外旋。
下斜方肌通过恢复前后力偶来提供中心力，在压缩-分散和前后平衡中恢复更好的关节反作用力。
我们认为，将同侧下斜方肌转移到冈下肌是一种较好的结果，可有效改善整体肩部稳定性和肩部外旋力矩臂，或至少在臂完全内收于中立位时保持稳定，对于腋神经损伤后神经重建不满意的患者，可提高生活质量和日常活动能力。
