A preliminary report of lower trapezius muscle transfer for elbow extension in children with brachial plexus birth injury (BPBI)
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View abstract on PubMed
Summary
This summary is machine-generated.Lower trapezius to triceps transfer significantly improved elbow extension in children with brachial plexus birth injury (BPBI). This surgical method shows promise for restoring function and daily activity capabilities.
Area Of Science
- Pediatric Orthopedics
- Neurosurgery
- Reconstructive Surgery
Background
- Elbow extension is vital for daily activities but often overlooked in brachial plexus injuries.
- Triceps palsy in pediatric brachial plexus birth injury (BPBI) causes significant functional deficits.
- Impaired elbow extension affects overhead activities, arm stabilization, and task performance.
Purpose Of The Study
- To evaluate the efficacy of lower trapezius to triceps transfer in restoring elbow extension in children with BPBI.
- To assess the functional outcomes of this surgical procedure.
Main Methods
- A cohort study involving 12 children with BPBI who underwent lower trapezius to triceps transfer.
- Postoperative follow-up ranged from 6 months to 2 years.
- Manual muscle testing (Lovett and Sunderland) assessed strength preoperatively and postoperatively.
- Statistical analysis (Wilcoxon signed-rank test) compared pre- and post-operative muscle strength (P < .05).
Main Results
- Significant increase in muscle power observed, from 1.33 (1) to 4.41 (1) (P < .001).
- No patient developed weakness in elbow flexion post-surgery.
- Active elbow flexion-extension motion was restored in all cases.
Conclusions
- Lower trapezius-to-triceps transfer is a promising surgical technique for restoring elbow extension in pediatric BPBI.
- The procedure effectively improves muscle strength and functional motion.
- This intervention offers a viable solution for functional impairment due to triceps palsy in BPBI.
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