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Garcon C, Abdelnour H, Jeandel C, et al. Change in shoulder external rotation strength and motion after lower trapezius transfer to the infraspinatus in children with obstetric brachial plexus palsy. Int Orthop. 2021;45(12):3163-3170doi: 10.1007/s00264-021-05247-3.
Garcon, C., Abdelnour, H., Jeandel, C., Louahem, D., Laffont, I., Cottalorda, J., Lambert, K., Coulet, B., & Delpont, M. (2021). Change in shoulder external rotation strength and motion after lower trapezius transfer to the infraspinatus in children with obstetric brachial plexus palsy. International orthopaedics, 45(12), 3163-3170. https://doi.org/10.1007/s00264-021-05247-3
Garcon, Charline, et al. "Change in shoulder external rotation strength and motion after lower trapezius transfer to the infraspinatus in children with obstetric brachial plexus palsy." International orthopaedics vol. 45,12 (2021): 3163-3170. doi: https://doi.org/10.1007/s00264-021-05247-3
Garcon C, Abdelnour H, Jeandel C, Louahem D, Laffont I, Cottalorda J, Lambert K, Coulet B, Delpont M. Change in shoulder external rotation strength and motion after lower trapezius transfer to the infraspinatus in children with obstetric brachial plexus palsy. Int Orthop. 2021 Dec;45(12):3163-3170. doi: 10.1007/s00264-021-05247-3. Epub 2021 Oct 18. PMID: 34664099.
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Int Orthop. 2021 Dec;45(12):3163-3170. doi: 10.1007/s00264-021-05247-3. Epub 2021 Oct 18.

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

International orthopaedics

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

Affiliations

  1. Department of Hand and Upper Extremity Surgery, Peripheral Nerves Surgery, Lapeyronie Hospital, University of Montpellier, Montpellier, France.
  2. Department of Pedriatric Orthopedic Surgery, Lapeyronie Hospital, University of Montpellier, 191 av du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France.
  3. Department of Physical Medicine and Rehabilitation, University of Montpellier, Montpellier, France.
  4. EuroMov Digital Health in Motion, University of Montpellier, Montpellier, France.
  5. PhyMedExp, CNRS UMR 9214, INSERM U1046, University of Montpellier, Montpellier, France.
  6. Department of Pedriatric Orthopedic Surgery, Lapeyronie Hospital, University of Montpellier, 191 av du Doyen Gaston Giraud, 34295, Montpellier Cedex 5, France. [email protected].
  7. PhyMedExp, CNRS UMR 9214, INSERM U1046, University of Montpellier, Montpellier, France. [email protected].

PMID: 34664099 DOI: 10.1007/s00264-021-05247-3

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.

© 2021. The Author(s), under exclusive licence to The Author(s) under exclusive licence to SICOT aisbl.

Keywords: Children; Isokinetic; Lower trapezius transfer; Muscle strength; Muscle transfer; Obstetric palsy

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