Arthroscopic Lower Trapezius Tendon Transfer for a Patient with Axillary Nerve Injury and Concomitant Rotator Cuff Tear: A Case Report and Technical Notes
<i>Introduction</i>: 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 should...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-10-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/59/10/1817 |
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| author | Jeff Loren Chuieng-Yi (Johnny) Lu Cheng-Pang Yang Kuo-Yao Hsu You-Hung Cheng Huan Sheu Chao-Yu Chen Hao-Che Tang Chieh-An Chuang Chih-Hao (Joe) Chiu |
| author_facet | Jeff Loren Chuieng-Yi (Johnny) Lu Cheng-Pang Yang Kuo-Yao Hsu You-Hung Cheng Huan Sheu Chao-Yu Chen Hao-Che Tang Chieh-An Chuang Chih-Hao (Joe) Chiu |
| author_sort | Jeff Loren |
| collection | DOAJ |
| description | <i>Introduction</i>: 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. <i>Case Presentation</i>: 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. <i>Discussion</i>: 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. <i>Conclusion</i>: 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. |
| first_indexed | 2024-03-10T21:03:22Z |
| format | Article |
| id | doaj.art-40372c580831461fbf164865646cf5fd |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-10T21:03:22Z |
| publishDate | 2023-10-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-40372c580831461fbf164865646cf5fd2023-11-19T17:17:42ZengMDPI AGMedicina1010-660X1648-91442023-10-015910181710.3390/medicina59101817Arthroscopic Lower Trapezius Tendon Transfer for a Patient with Axillary Nerve Injury and Concomitant Rotator Cuff Tear: A Case Report and Technical NotesJeff Loren0Chuieng-Yi (Johnny) Lu1Cheng-Pang Yang2Kuo-Yao Hsu3You-Hung Cheng4Huan Sheu5Chao-Yu Chen6Hao-Che Tang7Chieh-An Chuang8Chih-Hao (Joe) Chiu9Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, TaiwanDivision of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taoyuan 333, TaiwanDepartment of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, TaiwanDepartment of Orthopedic Surgery, New Taipei Municipal Tucheng Hospital, New Taipei City 236, TaiwanDepartment of Orthopedic Surgery, New Taipei Municipal Tucheng Hospital, New Taipei City 236, TaiwanDepartment of Orthopedic Surgery, Taoyuan Chang Gung Memorial Hospital, Taoyuan 333, TaiwanDepartment of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, TaiwanDepartment of Orthopedic Surgery, Keelung Chang Gung Memorial Hospital, Keelung 204, TaiwanDepartment of Orthopedic Surgery, Keelung Chang Gung Memorial Hospital, Keelung 204, TaiwanDepartment of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan<i>Introduction</i>: 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. <i>Case Presentation</i>: 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. <i>Discussion</i>: 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. <i>Conclusion</i>: 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.https://www.mdpi.com/1648-9144/59/10/1817brachial plexus injuryaxillary nerve injurylower trapezius tendon transferAchilles allograft |
| spellingShingle | Jeff Loren Chuieng-Yi (Johnny) Lu Cheng-Pang Yang Kuo-Yao Hsu You-Hung Cheng Huan Sheu Chao-Yu Chen Hao-Che Tang Chieh-An Chuang Chih-Hao (Joe) Chiu Arthroscopic Lower Trapezius Tendon Transfer for a Patient with Axillary Nerve Injury and Concomitant Rotator Cuff Tear: A Case Report and Technical Notes Medicina brachial plexus injury axillary nerve injury lower trapezius tendon transfer Achilles allograft |
| title | Arthroscopic Lower Trapezius Tendon Transfer for a Patient with Axillary Nerve Injury and Concomitant Rotator Cuff Tear: A Case Report and Technical Notes |
| title_full | Arthroscopic Lower Trapezius Tendon Transfer for a Patient with Axillary Nerve Injury and Concomitant Rotator Cuff Tear: A Case Report and Technical Notes |
| title_fullStr | Arthroscopic Lower Trapezius Tendon Transfer for a Patient with Axillary Nerve Injury and Concomitant Rotator Cuff Tear: A Case Report and Technical Notes |
| title_full_unstemmed | Arthroscopic Lower Trapezius Tendon Transfer for a Patient with Axillary Nerve Injury and Concomitant Rotator Cuff Tear: A Case Report and Technical Notes |
| title_short | Arthroscopic Lower Trapezius Tendon Transfer for a Patient with Axillary Nerve Injury and Concomitant Rotator Cuff Tear: A Case Report and Technical Notes |
| title_sort | arthroscopic lower trapezius tendon transfer for a patient with axillary nerve injury and concomitant rotator cuff tear a case report and technical notes |
| topic | brachial plexus injury axillary nerve injury lower trapezius tendon transfer Achilles allograft |
| url | https://www.mdpi.com/1648-9144/59/10/1817 |
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