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Journal of Bone and Joint Surgery, 1927;9:412-420.
© 1927 by The Journal of Bone and Joint Surgery, Inc

TRANSPLANTATION OF THE TRAPEZIUS FOR PARALYSIS OF THE ABDUCTORS OF THE ARM

LEO MAYER M.D.

By lengthening the trapezius with a strip of fascia lata, it is possible to utilize this muscle as an effective substitute for the paralyzed abductors. Essential to success of the procedure is the presence not only of a strong trapezius and serratus magnus, but also of one additional muscle,—either the clavicular portion of the pectoralis major, the biceps, or the coracobrachialis. The operation has the advantage over the arthrodesis that it gives a more complete range of abduction and the aesthetic effect is more pleasing. It has the disadvantage of requiring at least three months of post-operative exercises.


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