Phipps, J Shoulder Elbow Surg 1995 - Latissimus Dorsi and Teres Major Transfer to Rotator Cuff for Erb's Palsy

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Latissimus Dorsi and Teres Major Transfer to Rotator Cuff for Erb's Palsy

Phipps, Hoffer·J Shoulder Elbow Surg·1995·97 citations·Case series

During a 20-year period the authors operated on 56 patients with Erb's palsy to create active external rotation of the shoulder. 35 patients had a follow-up period longer than 2 years (average 5 years), which allowed comparison with preoperative motion and strength. Preoperative passive external rotation averaged 5 degrees, whereas active abduction averaged 74 degrees. Preoperative external rotation strength was less than grade 2, whereas preoperative abduction strength was grade 2 or 3 in 33 of the 35 patients. Postoperative active external rotation averaged 31 degrees with only 2 recurrent internal rotation contractures. Postoperative active abduction averaged 120 degrees. Postoperative strength in external rotation increased in 29 of the 35 patients, with abduction strength increasing one or more grades in 13 of the 35 patients. 4 complications occurred. 3 patients continued to lose external rotation and required further surgical procedures, and a fourth had a superficial infection. This procedure compares well with the classic transfers to the proximal humerus in that it provides active external rotation in most cases and in some increases shoulder abduction strength.

Copyright remains with the authors and publisher.

Latissimus Dorsi and Teres Major Transfer to Rotator Cuff for Erb's Palsy

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Latissimus Dorsi and Teres Major Transfer to Rotator Cuff for Erb's Palsy

Phipps, Hoffer·J Shoulder Elbow Surg·1995·97 citations·Case series

During a 20-year period the authors operated on 56 patients with Erb's palsy to create active external rotation of the shoulder. 35 patients had a follow-up period longer than 2 years (average 5 years), which allowed comparison with preoperative motion and strength. Preoperative passive external rotation averaged 5 degrees, whereas active abduction averaged 74 degrees. Preoperative external rotation strength was less than grade 2, whereas preoperative abduction strength was grade 2 or 3 in 33 of the 35 patients. Postoperative active external rotation averaged 31 degrees with only 2 recurrent internal rotation contractures. Postoperative active abduction averaged 120 degrees. Postoperative strength in external rotation increased in 29 of the 35 patients, with abduction strength increasing one or more grades in 13 of the 35 patients. 4 complications occurred. 3 patients continued to lose external rotation and required further surgical procedures, and a fourth had a superficial infection. This procedure compares well with the classic transfers to the proximal humerus in that it provides active external rotation in most cases and in some increases shoulder abduction strength.

Copyright remains with the authors and publisher.

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