Restoration of Elbow flexion with tendon transfer

April 24th, 2007

When elbow flexion is incomplete or weak because of having sustained a birth-related brachial plexus injury--or for that matter--related to another cause like polio, a nearby muscle and its tendon, can be transferred to restore functional elbow flexion.

A number of donor muscle options exist, but one of the most championed options involves a latissimus muscle transfer. I have extensive experience with this transfer--which can be used to restore not only elbow flexion, but also elbow extension and shoulder flexion, occasionally. We will discuss whether this procedure is an option ffor you during your appointment.

Related Photos:

The latissimus muscle can be transferred with or without a skin paddle

Preoperative photo before transfer for obstetrical palsy

Postoperative photo

Latissimus transfer is a useful donor in cases of polio. Note skin paddle

Excellent grade 4 strength was restored even after many years postpolio

Related Videos:

Preoperative exam shows weak elbow flexion due to previous obstetrical brachial plexus injury

Outcome following latissimus muscle tendon transfer to improve elbow flexion.