Clinics in Shoulder and Elbow
- Volume 25 Issue 3
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- Pages.240-243
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- 2022
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- 2288-8721(eISSN)
DOI QR Code
The humeral suspension technique: a novel operation for deltoid paralysis
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de Joode, Stijn GCJ
(Department of Orthopedic Surgery and Traumatology, Zuyderland Medical Center) ;
- Walbeehm, Ralf (Department of Orthopedic Surgery and Traumatology, Zuyderland Medical Center) ;
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Schotanus, Martijn GM
(Department of Orthopedic Surgery and Traumatology, Zuyderland Medical Center) ;
- van Nie, Ferry A (Department of Neurosurgery, Zuyderland Medical Center) ;
- van Rhijn, Lodewijk W (School of Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences) ;
- Samijo, Steven K (Department of Orthopedic Surgery and Traumatology, Zuyderland Medical Center)
- Received : 2021.10.16
- Accepted : 2022.01.13
- Published : 2022.09.01
Abstract
Isolated deltoid paralysis is a rare pathology that can occur after axillary nerve injury due to shoulder trauma or infection. This condition leads to loss of deltoid function that can cause glenohumeral instability and inferior subluxation, resulting in rotator cuff muscle fatigue and pain. To establish dynamic glenohumeral stability, a novel technique was invented. Humeral suspension is achieved using a double button implant with non-resorbable high strength cords between the acromion and humeral head. This novel technique was used in two patients with isolated deltoid paralysis due to axillary nerve injury. The results indicate that the humeral suspension technique is a method that supports centralizing the humeral head and simultaneously dynamically stabilizes the glenohumeral joint. This approach yielded high patient satisfaction and reduced pain. Glenohumeral alignment was improved and remained intact 5 years postoperative. The humeral suspension technique is a promising surgical method for subluxated glenohumeral joint instability due to isolated deltoid paralysis.
Keywords
- Deltoid muscle paralysis;
- Humeral suspension technique;
- Brachial plexus neuropathies;
- Axillary nerve injury;
- Glenohumeral instability