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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Lower Trapezius Transfer for Triceps Function in Obstetric Palsy – Review of Other Methods and Presentation of 15 Cases

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  • presenting/speaker Atakan Aydin - Istanbul University, Istanbul, Turkey
  • Zeynep Hosbay - Biruni University, Istanbul, Turkey
  • Safiye Ozkan - Istanbul University, Istanbul, Turkey

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-846

doi: 10.3205/19ifssh1414, urn:nbn:de:0183-19ifssh14146

Published: February 6, 2020

© 2020 Aydin et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

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Objectives/Interrogation: Since elbow extansion is a passive movement when shoulder is adducted and at secondary importance compairing elbow flexion, muscle transfer to triceps is not commonly mentioned in obstetrical palsy literature.This need was observed specially in patients whom had improved shoulder abduction with surgery but have limited elbow extansion.

Methods: Previously, we had operated on 13 patients with elbow extansion restoration ages between 5-16 years. We used brachioradialis muscle in 6 patients, brachialis muscle in 6 patients and posterior deltoid muscle in one patient with pros and cons of each method.

Later on depending on the anatomic studies for lower trapezius transfer in order to have better shoulder external rotation, we used ipsilateral lower trapezius muscle by elongation with tensor fascia lata graft to triceps muscle, in 15 obstetric palsy cases.

Results and Conclusions: Average elbow extansion was improved 50 degrees and shoulder abduction was improved 35 degrees in our patients.Ipsilateral lower trapezius transfer is a good tecnique for triceps function restoration with minimal donor site morbidity.