CC BY 4.0 · J Brachial Plex Peripher Nerve Inj 2018; 13(01): e20-e23
DOI: 10.1055/s-0038-1676786
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Shoulder Subluxation Pain as a Secondary Indication for Trapezius to Deltoid Transfer

Andrew I. Elkwood
1  The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States
,
Michael I. Rose
1  The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States
,
Matthew R. Kaufman
1  The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States
,
Tushar R. Patel
1  The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States
,
Russell L. Ashinoff
1  The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States
,
Adam Saad
1  The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States
,
Lisa F. Schneider
1  The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States
,
Eric G. Wimmers
1  The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States
,
Hamid Abdollahi
1  The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States
,
Deborah Yu
1  The Institute for Advanced Reconstruction, Shrewsbury, New Jersey, United States
› Author Affiliations
Further Information

Publication History

07 October 2016

05 November 2018

Publication Date:
31 December 2018 (online)

  

Abstract

Brachial plexus injuries can be debilitating. We have observed that manual reduction of the patients' shoulder subluxation improves their pain and have used this as a second reason to perform the trapezius to deltoid muscle transfer beyond motion. The authors report a series of nine patients who all had significant improvement of pain in the shoulder girdle and a decrease in pain medication use after a trapezius to deltoid muscle transfer. All patients were satisfied with the outcomes and stated that they would undergo the procedure again if offered the option. The rate of major complications was low. The aim is not to describe a new technique, but to elevate a secondary indication to a primary for the trapezius to deltoid transfer beyond improving shoulder function: pain relief from chronic shoulder subluxation.