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Related Experiment Video

Updated: May 9, 2025

Therapy Interventions for Upper Limb Amputees Undergoing Selective Nerve Transfers
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Modified Eden-Lange Triple-Tendon Transfer for Chronic Trapezius Palsy.

Matthew F Gong1, Ian D Engler1, Alejandro Morales-Restrepo1

  • 1Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.

Video Journal of Sports Medicine
|May 1, 2025
PubMed
Summary

Trapezius palsy can cause shoulder dysfunction. A modified Eden-Lange triple-tendon transfer effectively restores shoulder function and strength in patients with chronic trapezius palsy.

Keywords:
modified Eden-Lange transferoperative techniquescapular wingingtrapezius palsytriple-tendon transfer

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Area of Science:

  • Orthopedic surgery
  • Nerve injury reconstruction
  • Shoulder biomechanics

Background:

  • Trapezius palsy results from spinal accessory nerve injury, leading to shoulder imbalance, scapular winging, and reduced function.
  • Conservative and surgical interventions may fail, necessitating salvage procedures for chronic cases.
  • A case of chronic trapezius palsy following a lymph node biopsy is presented.

Purpose of the Study:

  • To describe the modified Eden-Lange triple-tendon transfer for chronic trapezius palsy.
  • To evaluate the efficacy of this salvage procedure in restoring shoulder function.

Main Methods:

  • A modified Eden-Lange triple-tendon transfer (Elhassan modification) was performed.
  • The levator scapulae, rhomboid minor, and rhomboid major tendons were transferred to specific scapular locations.

Main Results:

  • The patient demonstrated progressive improvement in shoulder range of motion and strength post-operatively.
  • The procedure successfully addressed chronic trapezius palsy symptoms.

Conclusions:

  • The modified Eden-Lange triple-tendon transfer is an effective salvage technique for chronic trapezius palsy.
  • This procedure reconstructs trapezius muscle force vectors, improving scapular kinematics and shoulder function.