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Related Experiment Video

Updated: Nov 3, 2025

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer
19:53

Single-stage Dynamic Reanimation of the Smile in Irreversible Facial Paralysis by Free Functional Muscle Transfer

Published on: March 1, 2015

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Tendon transfer for trapezius palsy.

J-D Werthel1, E Masmejean2, B Elhassan3

  • 1Hôpital Ambroise Paré, 9, Avenue Charles de Gaulle, 92100 Boulogne-Billancourt, France.

Hand Surgery & Rehabilitation
|June 3, 2021
PubMed
Summary
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Biomechanical bases for tendon transfers at the shoulder.

Hand surgery & rehabilitation·2021

Trapezius muscle paralysis causes shoulder dysfunction. The modified Eden-Lange procedure offers a potential surgical solution for restoring shoulder function when conservative treatments fail.

Area of Science:

  • Orthopedic surgery
  • Shoulder biomechanics
  • Musculoskeletal research

Background:

  • The trapezius muscle is crucial for scapular rotation and shoulder abduction.
  • Loss of trapezius function results in shoulder drooping and limited arm elevation.
  • The Eden-Lange (EL) procedure is a common surgical option for trapezius paralysis.

Purpose of the Study:

  • To evaluate a modified Eden-Lange (EL) procedure for trapezius paralysis.
  • To assess the restoration of trapezius muscle function and shoulder mobility.
  • To compare outcomes with the original EL procedure.

Main Methods:

  • Surgical transfer of levator scapulae (LS) and rhomboid major (RM)/minor (Rm) muscles.
  • Modification of the EL procedure to recreate the trapezius muscle's line of pull.
Keywords:
Eden-Lange transferParalysie du trapèzeTendon transferTransfert d’Eden-LangeTransfert tendineuxTrapezius palsyTriple transfertTriple-tendon transfer

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Last Updated: Nov 3, 2025

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  • Assessment of functional recovery and shoulder abduction post-surgery.

    • Main Results:

    • The modified EL procedure aims to restore lost trapezius function.
    • Early outcomes suggest potential for successful reconstruction in trapezius paralysis.
    • Restoration of scapular external rotation and improved abduction are anticipated.

    Conclusions:

    • A modified Eden-Lange procedure shows promise for treating trapezius paralysis.
    • This surgical technique may benefit patients unresponsive to conservative care.
    • Further long-term studies are necessary to confirm the durability of results.