• Users Online: 573
  • Home
  • Print this page
  • Email this page
Home About us Editorial board Search Ahead of print Current issue Archives Submit article Instructions Subscribe Contacts Login 
Year : 2013  |  Volume : 48  |  Issue : 3  |  Page : 220-228

Subscapularis release and tendon transfer in treatment of posterior shoulder dislocation in obstetric brachial plexus palsy

Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University, Egypt

Correspondence Address:
Yousuf M Khira
Department of Orthopedic Surgery, Faculty of Medicine, Zagazig University
Login to access the Email id

Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1110-1148.125828

Rights and Permissions

Background Muscle imbalance of the shoulder results in weak external rotation and abduction. Active internal rotation and adduction can cause glenohumeral joint deformity with late posterior dislocation. Patients and methods This prospective study conducted from 2004 to 2009 included 34 patients, 18 girls and 16 boys, with a mean age of 4 years (1-7 years). The right side was affected in 19 patients, whereas the left side was affected in 15 patients. All patients suffered from obstetric brachial plexus palsy with internal rotation contracture and defective shoulder abduction plus posterior dislocation or subluxation of the humeral head. These patients were treated by soft tissue release (subscapularis slide and anterior soft tissues release) with or without tendon transfer (latissimus dorsi and teres major to infraspinatus). Conclusion Subscapularis release provided an objective functional benefit; however, it degraded over time. Teres major and latissimus dorsi to infraspinatus transfer is a useful procedure for correction of defective shoulder abduction and external rotation in obstetric brachial plexus palsy as it increases the stabilizing action of the rotator cuff, thus allowing the deltoid to act with maximal force.

Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)

 Article Access Statistics
    PDF Downloaded432    
    Comments [Add]    

Recommend this journal