{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T10:48:17Z","timestamp":1779101297045,"version":"3.51.4"},"reference-count":33,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"6","license":[{"start":{"date-parts":[[2008,6,1]],"date-time":"2008-06-01T00:00:00Z","timestamp":1212278400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2008,6]]},"abstract":"<jats:p> After establishing anatomical feasibility, functional reconstruction to replace the anterolateral part of the deltoid was performed in 20 consecutive patients with irreversible deltoid paralysis using the sternoclavicular portion of the pectoralis major muscle. The indication for reconstruction was deltoid deficiency combined with massive rotator cuff tear in 11 patients, brachial plexus palsy in seven, and an isolated axillary nerve lesion in two. All patients were followed clinically and radiologically for a mean of 70 months (24 to 125). The mean gender-adjusted Constant score increased from 28% (15% to 54%) to 51% (19% to 83%). Forward elevation improved by a mean of 37\u00b0, abduction by 30\u00b0 and external rotation by 9\u00b0. <\/jats:p><jats:p> The pectoralis inverse plasty may be used as a salvage procedure in irreversible deltoid deficiency, providing subjectively satisfying results. Active forward elevation and abduction can be significantly improved. <\/jats:p>","DOI":"10.1302\/0301-620x.90b6.19804","type":"journal-article","created":{"date-parts":[[2008,6,6]],"date-time":"2008-06-06T14:19:40Z","timestamp":1212761980000},"page":"757-763","source":"Crossref","is-referenced-by-count":16,"title":["Pectoralis major inverse plasty for functional reconstruction in patients with anterolateral deltoid deficiency"],"prefix":"10.1302","volume":"90-B","author":[{"given":"H.","family":"Resch","sequence":"first","affiliation":[{"name":"Department of Traumatology and Sports Injuries University Hospital of Salzburg, Muellner Hauptstrasse 48, 5020 Salzburg, Austria."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Povacz","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Sports Injuries University Hospital of Salzburg, Muellner Hauptstrasse 48, 5020 Salzburg, Austria."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Maurer","sequence":"additional","affiliation":[{"name":"Institute of Anatomy, University Hospital of Innsbruck, Muellerstrasse 59, 6020 Innsbruck, Austria."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"H.","family":"Koller","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Sports Injuries University Hospital of Salzburg, Muellner Hauptstrasse 48, 5020 Salzburg, Austria."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Tauber","sequence":"additional","affiliation":[{"name":"Department of Traumatology and Sports Injuries University Hospital of Salzburg, Muellner Hauptstrasse 48, 5020 Salzburg, Austria."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.81B2.0810212"},{"key":"R2","doi-asserted-by":"crossref","unstructured":"Narakas AO. Paralytic disorders of the shoulder girdle. Hand Clin 1988;4:619\u201332.","DOI":"10.1016\/S0749-0712(21)01228-2"},{"key":"R3","unstructured":"Brems JJ, Wilde AM. Shoulder arthroplasty: principles. In: Watson MS, ed. Surgical disorders of the shoulder. London: Churchill Livingstone 1991:459\u201371."},{"key":"R4","doi-asserted-by":"crossref","unstructured":"Howell SM, Imobersteg AM, Seger DH, Marone PJ. Clarification of the role of the supraspinatus muscle in shoulder function. J Bone Joint Surg [Am] 1986;68-A:398\u2013404.","DOI":"10.2106\/00004623-198668030-00013"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1016\/S1058-2746(09)80042-6"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.46B4.614"},{"key":"R7","doi-asserted-by":"crossref","unstructured":"Chuinard RG, Kinnard WH. Shoulder fusion in treatment of C5\/6 brachial plexus palsy: case report. Orthopedics 1980;3:901\u20133.","DOI":"10.3928\/0147-7447-19800901-14"},{"key":"R8","doi-asserted-by":"crossref","unstructured":"Cofield RH, Briggs BT. Glenohumeral arthrodesis: operative and long-term functional results. J Bone Joint Surg [Am] 1979;61-A:668\u201377.","DOI":"10.2106\/00004623-197961050-00005"},{"key":"R9","doi-asserted-by":"crossref","unstructured":"Richards RR, Waddell JP. Hudson AR. Shoulder arthrodesis for the treatment of brachial plexus palsy. Clin Orthop 1985;198:250\u20138.","DOI":"10.1097\/00003086-198509000-00037"},{"key":"R10","doi-asserted-by":"crossref","unstructured":"Richards RR, Sherman RM, Hudson AR, Waddell JP. Shoulder arthrodesis using a pelvic-reconstruction plate: a report of eleven cases. J Bone Joint Surg [Am] 1988;70-A:416\u201321.","DOI":"10.2106\/00004623-198870030-00014"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.3109\/17453678709146397"},{"key":"R12","doi-asserted-by":"publisher","DOI":"10.3171\/jns.1983.58.5.0631"},{"key":"R13","doi-asserted-by":"crossref","unstructured":"Millesi H. Brachial plexus injuries: management and results. Clin Plast Surg 1984;11:115\u201320.","DOI":"10.1016\/S0094-1298(20)31827-7"},{"key":"R14","unstructured":"Takahashi M. Studies on conversion of motor function in intercostal nerves crossing for complete brachial plexus injuries of root avulsion type. Nippon Seikeigeka Gakkai Zasshi 1983;57:1799\u2013807."},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.72B4.2380231"},{"key":"R16","unstructured":"Bateman JE. The shoulder and environs. St. Louis: CV Mosby, 1955."},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1016\/0266-7681(86)90020-3"},{"key":"R18","unstructured":"Mayer L. Transplantation of the trapezius for paralysis of the abductors of the arm. J Bone Joint Surg 1927;9:412\u201320."},{"key":"R19","doi-asserted-by":"crossref","unstructured":"Saha AK. Surgery of the paralysed and flail shoulder. Acta Orthop Scand 1967;Suppl 97: 5\u201390.","DOI":"10.3109\/ort.1967.38.suppl-97.01"},{"key":"R20","unstructured":"Slomann HC. Ueber die Behandlung der Deltoideuslahmheit. Z Orthop Chir 1915;28."},{"key":"R21","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1932.27410780003009b"},{"key":"R22","doi-asserted-by":"publisher","DOI":"10.1097\/00000637-199101000-00011"},{"key":"R23","doi-asserted-by":"crossref","unstructured":"Chuang DC. Functioning free muscle transplantation for brachial plexus injury. Clin Orthop 1995;314:104\u201311.","DOI":"10.1097\/00003086-199505000-00014"},{"key":"R24","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.69B4.3611175"},{"key":"R25","unstructured":"Hildebrandt A. Muskeltransplantation. Dtsch Med Wochenschr 1905;39:1578."},{"key":"R26","doi-asserted-by":"crossref","unstructured":"Harmon PH. Surgical reconstruction of the paralytic shoulder by multiple muscle transplantations. J Bone Joint Surg [Am] 1950;32-A:583\u201395.","DOI":"10.2106\/00004623-195032030-00013"},{"key":"R27","unstructured":"Hou CL, Tai YH. Transfer of upper pectoralis major flap for functional reconstruction of deltoid muscle. Chin Med J (Engl) 1991;104:753\u20137."},{"key":"R28","doi-asserted-by":"crossref","unstructured":"Riedel G. Zur Frage der Muskeltransplantation bei Deltoideusl\u00e4hmung. Ergebn Chir Orthop 1928;21:489\u2013542.","DOI":"10.1007\/978-3-642-91221-4_10"},{"key":"R29","doi-asserted-by":"publisher","DOI":"10.1016\/0303-8467(93)90042-F"},{"key":"R30","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B1.0800114"},{"key":"R31","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.80B1.0800109"},{"key":"R32","doi-asserted-by":"crossref","unstructured":"Constant CR, Murley AH. A clinical method of functional assessment of the shoulder. Clin Orthop 1987;214:160\u20134.","DOI":"10.1097\/00003086-198701000-00023"},{"key":"R33","doi-asserted-by":"crossref","unstructured":"Goldner JL. Strengthening of the partially paralyzed shoulder girdle by multiple muscle-tendon transfers. Hand Clin 1988;4:323\u201336.","DOI":"10.1016\/S0749-0712(21)01147-1"}],"container-title":["The Journal of Bone and Joint Surgery. British volume"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.90B6.19804","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/full-xml\/10.1302\/0301-620X.90B6.19804","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/pdf\/10.1302\/0301-620X.90B6.19804","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,8,16]],"date-time":"2021-08-16T20:23:56Z","timestamp":1629145436000},"score":1,"resource":{"primary":{"URL":"https:\/\/online.boneandjoint.org.uk\/doi\/10.1302\/0301-620X.90B6.19804"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,6]]},"references-count":33,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2008,6]]}},"alternative-id":["10.1302\/0301-620X.90B6.19804"],"URL":"https:\/\/doi.org\/10.1302\/0301-620x.90b6.19804","relation":{},"ISSN":["0301-620X","2044-5377"],"issn-type":[{"value":"0301-620X","type":"print"},{"value":"2044-5377","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,6]]}}}