Modified Pectoralis Major Tendon Transfer for Reanimation of Elbow Flexion as a Salvage Procedure in Complete Brachial Plexus Injury: A Case Report
Traumatic brachial plexus injuries rarely recover spontaneously and if the window period for neurotisation has elapsed, the only option for restoration of function lies in a salvage procedure. Many such salvage procedures have been described in the literature with variable functional results. We rep...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Orthopaedic Association
2013-03-01
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| Series: | Malaysian Orthopaedic Journal |
| Subjects: | |
| Online Access: | http://www.morthoj.org/2013/v7n1/pectoralis-major-tendon-transfer.pdf |
| Summary: | Traumatic brachial plexus injuries rarely recover spontaneously and if the window period for neurotisation has elapsed, the only option for restoration of function lies in a salvage procedure. Many such salvage procedures have been described in the literature with variable functional results. We report the case of a 16-year-old boy who presented after unsuccessful treatment for a complete brachial plexus injury; we performed a pectoralis major tendon transfer to attain elbow flexion. Postoperatively, the elbow was splinted with
flexion at 100°. After 4 weeks of immobilization the splint was removed and the patient could actively flex his elbow from 30° to 100°. |
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| ISSN: | 1985-2533 |