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Reverse Total Shoulder Arthroplasty
Published on: July 5, 2011
Muscle transfers involving the shoulder
Joseph H Guettler1, Carl J Basamania
1Performance Orthopedics, 24255 Thirteen Mile Road, Suite 100, Bingham Farms, MI 48025, USA. jguettlermd@wideopenwest.com
Journal of Surgical Orthopaedic Advances
|April 11, 2006
Summary
Muscle transfer surgery offers a way to treat complex shoulder issues, unlike fusion which sacrifices function. This technique can relieve pain and maintain shoulder function for conditions like rotator cuff tears and paralysis.
Area of Science:
- Orthopedic Surgery
- Musculoskeletal System Research
- Reconstructive Procedures
Background:
- Shoulder problems can significantly impair function and quality of life.
- Surgical interventions are often necessary for severe shoulder pathologies.
- Muscle transfer presents an alternative to shoulder fusion, preserving function.
Purpose of the Study:
- To review reliable muscle transfer procedures for common shoulder conditions.
- To highlight surgical techniques for subscapularis rupture, rotator cuff tears, deltoid dysfunction, trapezial paralysis, and scapular winging.
Main Methods:
- Review of established and reliable muscle transfer procedures.
- Focus on five specific conditions and their corresponding surgical techniques.
- Description of pectoralis major and latissimus dorsi transfers, and modified Eden-Lange and Marmor-Bechtol procedures.
Main Results:
- Muscle transfer is a viable treatment for subscapularis rupture, irreparable rotator cuff tears, deltoid dysfunction, trapezial paralysis, and serratus anterior scapular winging.
- Specific reliable procedures include pectoralis major transfer for subscapularis rupture and latissimus dorsi transfer for rotator cuff tears and deltoid dysfunction.
- Modified Eden-Lange and Marmor-Bechtol procedures are effective for trapezial paralysis and scapular winging, respectively.
Conclusions:
- Muscle transfer surgery effectively addresses debilitating shoulder conditions.
- These procedures offer pain relief while preserving shoulder function.
- Specific muscle transfers provide reliable solutions for a range of complex shoulder pathologies.
Related Concept Videos
01:23Muscles of the Shoulder
The muscles surrounding the shoulder girdle, including the clavicle and scapula, primarily stabilize the scapula. This stable base allows other muscles to move the humerus effectively. Scapular movements often mirror those of the humerus and extend its range of motion. For instance, raising the arm above the head would not be feasible without simultaneous upward rotation of the scapula.
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
Anterior Thoracic Muscles
The anterior thoracic muscles include the serratus anterior, subclavius, and...
01:31Muscles that Move the Arm
Nine muscles are involved in arm movements. Two of these, the pectoralis major and latissimus dorsi, originate from the axial skeleton and are called axial muscles. The other seven originate from the scapula and are called the scapular muscles.
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
The pectoralis major has two origins. Its clavicular head originates on the medial half of the clavicle. In contrast, the sternocostal head originates on the costal cartilages of ribs 1-6, the sternum, and the aponeurosis of the external oblique of the...
01:24Muscle Coordination and Action
Muscle coordination is a complex and finely tuned process essential for smooth and purposeful movements like flexion, extension, adduction, abduction, and rotation. The human body orchestrates the actions of various muscles working in concert, each with a specific role. Four functional types describe how muscles work together: agonist, antagonist, synergist, and fixator.
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement.
Agonists
Agonist muscles, often called prime movers, are the primary muscles responsible for producing a specific movement.
01:16Muscles that Move the Forearm
The muscles that move the forearms can be divided into four groups: forearm flexors, forearm extensors, forearm pronators, and forearm supinators. The flexors and extensors act on the elbow joint, while the pronators and supinators act on the radioulnar joints.
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
Forearm Flexors
The biceps brachii, brachialis, and brachioradialis are forearm flexors. The biceps brachii is made up of two heads. Its long head originates at the supraglenoid tubercle of the scapula, whereas that of the short head is...
00:51Anatomical Movements
Anatomical movements refer to the various actions or motions that can be performed by the body's joints and muscles. These movements are described using specific terms to provide a standardized way of discussing and understanding the range of motion at different joints.
Here are some common anatomical movements:
Flexion and extension motions are in the sagittal (anterior–posterior) plane of motion. These movements take place at the shoulder, hip, elbow, knee, wrist, metacarpophalangeal,...
Here are some common anatomical movements:
Flexion and extension motions are in the sagittal (anterior–posterior) plane of motion. These movements take place at the shoulder, hip, elbow, knee, wrist, metacarpophalangeal,...
01:15Muscle Contraction