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18.10.2021 | Original Paper

Change in shoulder external rotation strength and motion after lower trapezius transfer to the infraspinatus in children with obstetric brachial plexus palsy

verfasst von: Charline Garcon, Hicham Abdelnour, Clément Jeandel, Djamel Louahem, Isabelle Laffont, Jérôme Cottalorda, Karen Lambert, Bertrand Coulet, Marion Delpont

Erschienen in: International Orthopaedics | Ausgabe 12/2021

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Abstract

Purpose

Quantifying changes in shoulder external rotation range of motion and strength after lower trapezius transfer in children with obstetric brachial plexus palsy (OBPP).

Methods

This prospective study included five children with sequelae of OBPP, with a mean age of 6.4 years (range: 4–12 years) who underwent lower trapezius tendon transfer to restore active external rotation (ER) of the shoulder. Pre-operatively and at a 12-month follow-up assessment, we analyzed the passive and active shoulder ER, the modified Mallet score, and the shoulder rotator muscles strength using an isokinetic device.

Results

Clinical parameters improved significantly after trapezius transfer pre-operative passive ER from −8° (range: −20–0°) to 37° (range: 15–50°) (p = 0.035), the modified Mallet score from 13 (range: 10–15) to 18 (range: 17–19) (p = 0.035). Strength testing revealed improved ER muscle strength in all five cases; the mean Peak Torque increased from 1.95 to 4.46 N·m, albeit non-significantly (p = 0.062). Two patients exhibited a winged scapula post-operatively.

Conclusion

Lower trapezius transfer seems encouraging to restore shoulder external rotation in OBPP children but with non-significant strength improvement.

Trial registration

18/07/31/5783, December 22, 2018

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Titel: Change in shoulder external rotation strength and motion after lower trapezius transfer to the infraspinatus in children with obstetric brachial plexus palsy
verfasst von: Charline Garcon
Hicham Abdelnour
Clément Jeandel
Djamel Louahem
Isabelle Laffont
Jérôme Cottalorda
Karen Lambert
Bertrand Coulet
Marion Delpont
Publikationsdatum: 18.10.2021
Verlag: Springer Berlin Heidelberg
Erschienen in: International Orthopaedics / Ausgabe 12/2021
Print ISSN: 0341-2695
Elektronische ISSN: 1432-5195
DOI: https://doi.org/10.1007/s00264-021-05247-3

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Change in shoulder external rotation strength and motion after lower trapezius transfer to the infraspinatus in children with obstetric brachial plexus palsy