WORLD JOURNAL OF PLASTIC SURGERY
Sat, May 31, 2025
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Volume 14, Issue 1 (2025)
WJPS 2025, 14(1): 97-104 |
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Shahraki S S, Gharghabi F, Yavari M. The Therapeutic Outcomes of Trapezius Muscle Transfer in Brachial Plexus Injury Patients: A Case Analysis at 15 Khordad Hospital, Tehran. WJPS 2025; 14 (1) :97-104
URL: http://wjps.ir/article-1-1373-en.html
URL: http://wjps.ir/article-1-1373-en.html
1- Department of Plastic Surgery, 15 Khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran , golbahar.shahraki@sbmu.c.ir
2- Department of Plastic Surgery, 15 Khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2- Department of Plastic Surgery, 15 Khordad Educational Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
Abstract: (450 Views)
Background: We investigated the therapeutic outcomes of trapezius muscle transfer in individuals diagnosed with brachial plexus damage.
Methods: We examined patients diagnosed with brachial plexus palsy referred to 15 Khordad Hospital in Tehran, Iran during 2018-20. The patients considered for inclusion in the study were those who were eligible for trapezius muscle transfer surgery, either on the affected side or the unaffected side. The evaluation focused on various aspects, including shoulder range of motion, muscle strength, shoulder pain, age and gender distribution, as well as satisfaction and function levels of the shoulder.
Results: The suitability of shoulder motions, shoulder abduction, and muscular strength in patients who underwent ipsilateral side trapezius muscle transfer surgery was greater compared to those who underwent contralateral side trapezius transfer. In the investigation of postoperative shoulder function among patients who underwent trapezius muscle transfer surgery on the ipsilateral side, it was shown that 3 patients (25%) exhibited favorable function, while 6 patients (50%) demonstrated acceptable function, and 3 patients (25%) displayed excellent function. Out of the total sample size of 9 patients who underwent surgery for trapezius muscle transfer on the contralateral side, 6 patients (66.7%) exhibited favorable function, while 3 patients (33.3%) demonstrated acceptable function.
Conclusion: Employing the contralateral trapezius muscle as a substitute when utilizing the ipsilateral trapezius muscle is not feasible is a viable alternative with favorable function.
Methods: We examined patients diagnosed with brachial plexus palsy referred to 15 Khordad Hospital in Tehran, Iran during 2018-20. The patients considered for inclusion in the study were those who were eligible for trapezius muscle transfer surgery, either on the affected side or the unaffected side. The evaluation focused on various aspects, including shoulder range of motion, muscle strength, shoulder pain, age and gender distribution, as well as satisfaction and function levels of the shoulder.
Results: The suitability of shoulder motions, shoulder abduction, and muscular strength in patients who underwent ipsilateral side trapezius muscle transfer surgery was greater compared to those who underwent contralateral side trapezius transfer. In the investigation of postoperative shoulder function among patients who underwent trapezius muscle transfer surgery on the ipsilateral side, it was shown that 3 patients (25%) exhibited favorable function, while 6 patients (50%) demonstrated acceptable function, and 3 patients (25%) displayed excellent function. Out of the total sample size of 9 patients who underwent surgery for trapezius muscle transfer on the contralateral side, 6 patients (66.7%) exhibited favorable function, while 3 patients (33.3%) demonstrated acceptable function.
Conclusion: Employing the contralateral trapezius muscle as a substitute when utilizing the ipsilateral trapezius muscle is not feasible is a viable alternative with favorable function.
References
1. Bertelli JA, Ghizoni MF. Transfer of the accessory nerve to the suprascapular nerve in brachial plexus reconstruction. J Hand Surg Am 2007;32(7):989e998. [DOI:10.1016/j.jhsa.2007.05.016]
2. Saha AK. Surgery of the paralized and flail shoulder. Acta Orthop Scand 1967;97:5-90. [DOI:10.3109/ort.1967.38.suppl-97.01]
3. Monreal R, Paredes L, Diaz H, Leon P. Trapezius transfer to treat flail shoulder after brachial plexus palsy. J Brachial Plex Peripher Nerve Inj 2007;2:2.
4. Elhassan B, Bishop A, Shin A. Trapezius transfer to restore external rotation in a patient with a brachial plexus injury: a case report. J Bone Joint Surg Am 2009;91(4):939e944. [DOI:10.2106/JBJS.H.00745]
5. Elhassan B, Bishop A, Shin A, Spinner R. Shoulder tendon transfer options for adult patients with brachial plexus injury. J Hand Surg Am 2010;35(7):1211e1219. [DOI:10.1016/j.jhsa.2010.05.001]
6. Arun K, Karki D. Modified trapezius transfer technique for restoration of shoulder abduction in brachial plexus injury. Indian J Plast Surg 2007;1(1). [DOI:10.4103/0970-0358.32662]
7. Saha AK. Surgery of the paralysed and flail shoulder. Acta Orthop Scand 1967;l97:5e90. [DOI:10.3109/ort.1967.38.suppl-97.01]
8. Doi K, Hattori Y, Ikeda K, Dhawan V. Significance of shoulder function in the reconstruction of prehension with double free-muscle transfer after complete paralysis of the brachial plexus. Plast Reconstr Surg 2003;112(6):1596e1603. [DOI:10.1097/01.PRS.0000085820.24572.EE]
9. Aziz W, Singer RM, Wolf. Transfer of the trapezius for flail shoulder after brachial plexus injury. J Bone Joint Surg Br 1990;72(4):701e704. [DOI:10.1302/0301-620X.72B4.2380231]
10. Comtet JJ, Herzberg G, Naasan IA. Biomechanical basis of transfers for shoulder paralysis. Hand Clin 1989;5(1):1e14. [DOI:10.1016/S0749-0712(21)00784-8]
11. Ruhmann O, Gosse F, Wirth CJ, Schmolke S. Reconstructive operations for the paralyzed shoulder in brachial plexus palsy: concept of treatment. Injury 1999;30(9):609e618 [DOI:10.1016/S0020-1383(99)00165-5]
12. Ruhmann O, Schmolke S, Bohnsack M, Carls J, Flamme C, Wirth CJ. Reconstructive operations for the upper limb after brachial plexus palsy. Am J Orthop (Belle Mead NJ) 2004;33(7):351e362. [DOI:10.1007/s00132-004-0633-4]
13. Monreal R, Paredes L, Diaz H, Leon P. Trapezius transfer to treat f lail shoulder after brachial plexus palsy. J Brachial Plex Peripher Nerve Inj 2007;2:2.
14. Ruhmann O, Schmolke S, Bohnsack M, Carls J, Wirth CJ. Trapezius transfer in brachial plexus palsy: correlation of the outcome with muscle power and operative technique. J Bone Joint Surg Br 2005;87(2):184e190. [DOI:10.1302/0301-620X.87B2.14906]
15. Ruhmann O, Wirth CJ, Gosse F. Trapezius transfer in deltoid paralysis. Orthopade 1997;26(7):634e642. [DOI:10.1007/PL00003423]
16. Elhassan Bt, Wagner ER, Spinner RJ, Bishop AT, Shin AY. Contralateral Trapezius Transfer to Restore Shoulder External Rotation Following Adult Brachial Plexus Injury. J Hand Surg Am 2016;41(4):e45-51. [DOI:10.1016/j.jhsa.2015.12.026]
17. Elhassan BT, Wagner ER, Allen T. Feasibility of contralateral ltrapezius transfer to restore shoulder external rotation. J Shoulder Elbow Surg 2012;21:1363-9. [DOI:10.1016/j.jse.2011.10.031]
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