Revision Reverse Total Shoulder Arthroplasty With Pectoralis Major Transfer for Anterior Deltoid Deficiency: A Case Report. Issue 2 (27th April 2022)

• Record Type: Journal Article
• Authors: Wheelwright, John C.; Featherall, Joseph; Kazmers, Nikolas H.; Tashjian, Robert Z.; Chalmers, Peter N.
• Is Part Of: JBJS case connector. Volume 12:Issue 2(2022)
• Publication Date: 2022-04-27
• Subjects: Reverse total shoulder arthroplasty -- RSA -- rTSA -- deltoid insufficiency -- anterior deltoid insufficiency -- pseudoparalysis -- pectoralis major tendon transfer -- tendon transfer -- Parsonage-Turner syndrome -- PTS -- partial deltoid insufficiency; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.22.00034
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: A 70-year-old male patient presented with anterior deltoid weakness from Parsonage-Turner neuropathy status post failed nerve transfer and a failed total shoulder arthroplasty with pseudoparalysis. The patient underwent revision to a reverse total shoulder arthroplasty with concomitant pectoralis major transfer to substitute for the anterior deltoid. An excellent functional result was attained as early as 6 weeks after surgery. Conclusion: Pectoralis major transfer can be an effective treatment option for isolated anterior deltoid insufficiency, even in the setting of a reverse total shoulder arthroplasty.