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Eur J Orthop Surg Traumatol. 2018 May;28(4):747-751. doi: 10.1007/s00590-018-2126-x. Epub 2018 Jan 25.

Review and clinical presentation in reverse shoulder arthroplasty in deltoid palsy.

Author information

1
Sorbonne Université, Service de Chirurgie orthopédique et traumatologique, APHP, Hopital Saint Antoine, 184 Rue du Faubourg Saint Antoine, 75012, Paris, France. dr.kermarrec@gmail.com.
2
Institut Parisien de l'épaule, Clinique Bizet, 21 Rue Georges Bizet, 75016, Paris, France.
3
Equipo Hombro y Codo, Clinica Indisa, Sta María 1810, Santiago, Providencia, Región Metropolitana, Chile.

Abstract

Deltoid palsy is a classical contraindication for reverse shoulder arthroplasty (RSA). However, in cases associating axillary nerve palsy and rotator cuff tear or glenohumeral arthritis, few options remain. We present a case in which combining RSA with transfer of the pectoralis major and upper and middle trapezius transfer provided satisfactory results in a patient suffering of both an irreparable rotator cuff tear and a deltoid palsy.Level of evidence IV.

KEYWORDS:

Axillary nerve palsy; Deltoid palsy; Pectoralis major; Rotator cuff tear; Shoulder arthroplasty; Tendon transfer; Trapezius

PMID:
29372328
DOI:
10.1007/s00590-018-2126-x
[Indexed for MEDLINE]

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