Shoulder sequlae operated

this is a post operative results of patient who suffered erbs palsy during child birth. As the plexus recovered  patient developed  shoulder contracture which resulted in inability to raise arm.
Subscapularis muscle contracture results in internal rotation , adducted arm . It results in inability to raise arm over shoulder , its results in bungle post deformity.


Surgery was done to release subscapularis muscle , pectoralis major muscle was partial release was done by cutting on muscle fascia.

LD and teres major were transferred to improve external rotation . A spica was placed with arm in full abduction .




Dr Adhishwar Sharma
MB,BS,MS Gen Surgery PGIMER Chandigarh
Mch Plastic Surgery
Fellowship in Hand and microvascular surgery
8860650846 ,adhishwar7@gmail.com
brahmanandclinic.com

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pan brachial plexus injury 2

Pan brachial plexus injury which was operated. All trunks were found to be avulsed and nerve transfer were done . Spinal accessory nerve was transferred to suprascapular nerve to innervate suprascapular muscle for shoulder abduction. Successful innervation results in 40 degrees of shoulder abduction which is useful in day to day activities. Intercostal nerves were transferred to elbow for restoration of elbow function .3,4 and 5 intercostal nerves are usually dissected and transferred to musculocutaneous nerve.  Dr Adhishwar Sharma MBBS, ,MS General Surgery PGIMER Chandigarh Mch Plastic Surgery Fellowship in Hand and Microvascular Surgery 8860650846, brahmanandclinic.com
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