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Clin Neurol Neurosurg. 1993;95 Suppl:S89-91.

Muscle transpositions in the shoulder and upper arm for sequelae of brachial plexus palsy.

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  • Clinique Longeraie for Reconstructive Surgery, Lausanne, Switzerland.


Permanent deficiency in abduction and external rotation of the arm seen after brachial plexus injury may be corrected by a levator scapulae transposition onto the supraspinatus, while the teres major, associated or not with latissimus dorsi, is transferred onto the infraspinatus muscle. Transposed in a bipolar manner, the latissimus may compensate the deltoid muscle. Associated measures have to be carried out in children with deformities caused by obstetrical palsy. A paralysed serratus anterior is best compensated by a transfer of the pectoralis major together with pectoralis minor muscle.

[PubMed - indexed for MEDLINE]
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