Moneim M S, Omer G E
J Hand Surg Am. 1986 Jan;11(1):135-9. doi: 10.1016/s0363-5023(86)80121-6.
Five patients between 10 and 46 years old were reviewed after a latissimus dorsi muscle transfer to restore elbow flexion. Loss of elbow flexion resulted from traumatic brachial plexus paralysis in all five patients. All had some weakness in other muscle groups in the upper extremity. The follow-up period was from 25 to 68 months (average = 39.4 months). A range of motion of 0 degrees/115 degrees, 10 degrees/100 degrees, 0 degrees/110 degrees, 0 degrees/70 degrees was obtained. After the transfer, three patients could supinate the forearm, and supination of 90 degrees, 15 degrees, and 10 degrees was measured. Two patients could lift 4 lb, while two others could lift 1 and 1.5 lb, respectively. Evaluation of activities of daily living by a standardized test revealed disappointing results. The two patients with less than 90 degrees elbow flexion had initial paralysis of the latissimus dorsi muscle at the time of injury. This procedure should not be done unless the latissimus dorsi muscle is normal.
对5例年龄在10至46岁之间的患者进行了回顾性研究，这些患者均接受了背阔肌转移术以恢复肘关节屈曲功能。所有5例患者的肘关节屈曲功能丧失均由创伤性臂丛神经麻痹所致。所有患者上肢的其他肌肉群均存在一定程度的无力。随访时间为25至68个月（平均39.4个月）。术后获得的关节活动范围分别为0度/115度、10度/100度、0度/110度、0度/70度。转移术后，3例患者能够使前臂旋后，旋后角度分别为90度、15度和10度。2例患者能够举起4磅重物，另外2例患者分别能够举起1磅和1.5磅重物。通过标准化测试对日常生活活动能力进行评估，结果令人失望。2例肘关节屈曲小于90度的患者在受伤时背阔肌最初就存在麻痹。除非背阔肌正常，否则不应进行此手术。
