Mir-Bullo X, Hinarejos P, Mir-Batlle P, Busquets R, Carrera L, Navarro A
Hospital Traumatologia C.S. Vall d'Hebron, Barcelona, Spain.
Acta Orthop Scand. 1998 Feb;69(1):69-72. doi: 10.3109/17453679809002360.
We transferred the trapezius with its bone insertion to the proximal humerus in 6 patients for treatment of a paralytic shoulder secondary to traumatic lesions of the brachial plexus. After 1 year, the shoulder abduction was improved from average 13 degrees (0 degrees-30 degrees) preoperatively to 76 degrees (50 degrees-100 degrees) postoperatively, and the shoulder flexion from 18 degrees (0 degrees-40 degrees) to 78 degrees (45 degrees-110 degrees) postoperatively. All the patients were satisfied with the outcome. We consider that transfer of the trapezius in a paralytic shoulder after brachial plexus injury gives a better outcome than shoulder fusion.
我们对6例因臂丛神经创伤性损伤继发麻痹性肩部的患者，将带骨附着点的斜方肌转移至肱骨近端进行治疗。1年后，肩部外展从术前平均13度（0度至30度）改善至术后76度（50度至100度），肩部前屈从术前18度（0度至40度）改善至术后78度（45度至110度）。所有患者对治疗结果均满意。我们认为，臂丛神经损伤后麻痹性肩部行斜方肌转移术比肩关节融合术效果更好。
