Document Detail

Pectoralis major inverse plasty for functional reconstruction in patients with anterolateral deltoid deficiency.
MedLine Citation:
PMID:  18539669     Owner:  NLM     Status:  MEDLINE    
After establishing anatomical feasibility, functional reconstruction to replace the anterolateral part of the deltoid was performed in 20 consecutive patients with irreversible deltoid paralysis using the sternoclavicular portion of the pectoralis major muscle. The indication for reconstruction was deltoid deficiency combined with massive rotator cuff tear in 11 patients, brachial plexus palsy in seven, and an isolated axillary nerve lesion in two. All patients were followed clinically and radiologically for a mean of 70 months (24 to 125). The mean gender-adjusted Constant score increased from 28% (15% to 54%) to 51% (19% to 83%). Forward elevation improved by a mean of 37 degrees , abduction by 30 degrees and external rotation by 9 degrees . The pectoralis inverse plasty may be used as a salvage procedure in irreversible deltoid deficiency, providing subjectively satisfying results. Active forward elevation and abduction can be significantly improved.
H Resch; P Povacz; H Maurer; H Koller; M Tauber
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. British volume     Volume:  90     ISSN:  0301-620X     ISO Abbreviation:  J Bone Joint Surg Br     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-09     Completed Date:  2008-09-08     Revised Date:  2010-11-10    
Medline Journal Info:
Nlm Unique ID:  0375355     Medline TA:  J Bone Joint Surg Br     Country:  England    
Other Details:
Languages:  eng     Pagination:  757-63     Citation Subset:  AIM; IM    
Department of Traumatology and Sports Injuries University Hospital of Salzburg, Muellner Hauptstrasse 48, 5020 Salzburg, Austria.
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MeSH Terms
Brachial Plexus Neuropathies / surgery*
Feasibility Studies
Middle Aged
Muscle, Skeletal / surgery
Paralysis / surgery
Pectoralis Muscles / blood supply,  innervation,  transplantation*
Postoperative Complications
Range of Motion, Articular
Regional Blood Flow
Rotator Cuff / injuries*,  surgery
Salvage Therapy / methods
Shoulder Joint / physiopathology
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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