J Korean Soc Microsurg.  2010 May;19(1):7-11.

Interposition Arthroplasty with Pectoralis Major Muscle Transfer for the Shoulder Arthropathy: 2 Cases Report

• Park JS
• Lee YB
• Yoo JH
• Park YW
• Rowe KC
• Chung KJ
• Kim HK
• Hwang JH
• Kim HN
• Song YS
• Son WS

Abstract

Interpostion arthroplasty with allograft has been known as a useful option for the shoulder arthropathy, but it has a limitation to immune response. We performed the pectoralis major muscle transfer for shoulder arthropathy. From January 2007 to December 2007, we performed the pectoralis major muscle transfer in 2 patients. They were 1 man and 1 woman, and the mean age of the patients was 70 years (range, 65 to 75). The average follow-up after surgery was 13 months (range, 12 to 14). We analyzed the clinical results by the American Shoulder and Elbow Surgeons (ASES) Score, and evaluated the pain by Visual Analogue Scale. The level of pain reduced from a preoperative average of 10 to a postoperative average of 1. The ASES scores increased from a preoperative mean of 9 to a postoperative mean of 58. These results indicated that interposition arthroplasty with the pectoralis major muscle transfer is a reliable treatment method for the shoulder arthropathy improving shoulder pain, and patient satisfaction.

Keyword

Shoulder arthropathy; Interposition arthroplasty; Pectoralis major muscle transfer

MeSH Terms

Arthroplasty
Elbow
Female
Follow-Up Studies
Humans
Muscles
Patient Satisfaction
Shoulder
Shoulder Pain
Transplantation, Homologous