J Korean Orthop Assoc.  1972 Dec;7(4):489-494. 10.4055/jkoa.1972.7.4.489.

Reconstruction of the Paralysed Shoulder by the Saha's Method: Report of a Case

• Hwang CS
• Lee KJ
• Lee DY

• KMID: 2463941
• DOI: http://doi.org/10.4055/jkoa.1972.7.4.489

Abstract

Treatment of a paralysed or flail shoulder falls into two categories; arthrodesis and reconstructive surgery. Of these the latter is preferable in view of mobility. Most authors have tried to reconstruct the paralysed abductor by transferring the trapezius muscle only. The final result of these procedures were poor in severe paralysis of the deltoid muscle or combined paralysis of the deltoid and the rotator cuff muscles. Noting the importance of the action of the rotator cuff muscles in abduction of the shoulder, Saha, in 1967, recommended simultaneous reconstruction of tne paralysed deltoid and rotator cuff muscles. We treated a case of paralysed shoulder that followed poliomyelitis by the Saha meshod, i.e., transfer of the trapezius muscle for the paralysed deltoid, transfer of the levator scapulae muscle for the supraspinatus, transfer of the pectoralis minor muscle for the subscapularis, all in one stage. Duration of the follow up was 3 months and the initial result seemed to be good in view of stability, mobility, and abductor power.

MeSH Terms

Accidental Falls
Arthrodesis
Deltoid Muscle
Follow-Up Studies
Methods*
Muscles
Paralysis
Poliomyelitis
Rotator Cuff
Shoulder*
Superficial Back Muscles