{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T23:24:34Z","timestamp":1770679474583,"version":"3.49.0"},"reference-count":34,"publisher":"MDPI AG","issue":"10","license":[{"start":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T00:00:00Z","timestamp":1697068800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005795","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["CMRPG3M2031"],"award-info":[{"award-number":["CMRPG3M2031"]}],"id":[{"id":"10.13039\/501100005795","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005795","name":"Chang Gung Memorial Hospital","doi-asserted-by":"publisher","award":["NSTC112-2628-B-182A-002-"],"award-info":[{"award-number":["NSTC112-2628-B-182A-002-"]}],"id":[{"id":"10.13039\/501100005795","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Taiwan Minister of Science and Technology","award":["CMRPG3M2031"],"award-info":[{"award-number":["CMRPG3M2031"]}]},{"name":"Taiwan Minister of Science and Technology","award":["NSTC112-2628-B-182A-002-"],"award-info":[{"award-number":["NSTC112-2628-B-182A-002-"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Introduction: Concomitant nerve injuries with musculoskeletal injuries present a challenging problem. The goals of nerve reconstruction for the shoulder include shoulder abduction and external rotation. When patients fail to achieve acceptable shoulder external rotation and shoulder abduction, tendon transfers such as trapezius transfer offer a reliable option in the subsequent stage. Case Presentation: A 32-year-old male presented with weak external rotation in his left shoulder, after previous axillary nerve reconstruction. He received the ipsilateral lower trapezius transfer with the aim of improving the external rotation. Discussion: The lower trapezius restores a better joint reaction force in both the compressive\u2013distractive and anterior\u2013posterior balancing and provides a centering force through the restoration of the anterior\u2013posterior force couple. Conclusion: We believe that the ipsilateral lower trapezius transfer to the infraspinatus is a good outcome and is effective in improving overall shoulder stability and the shoulder external rotation moment arm or at least maintaining in neutral position with the arm fully adducted in patients with post axillary nerve injuries post unsatisfactory nerve reconstruction to increase the quality of life and activities of daily living.<\/jats:p>","DOI":"10.3390\/medicina59101817","type":"journal-article","created":{"date-parts":[[2023,10,12]],"date-time":"2023-10-12T07:28:44Z","timestamp":1697095724000},"page":"1817","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Arthroscopic Lower Trapezius Tendon Transfer for a Patient with Axillary Nerve Injury and Concomitant Rotator Cuff Tear: A Case Report and Technical Notes"],"prefix":"10.3390","volume":"59","author":[{"given":"Jeff","family":"Loren","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan"},{"name":"Department of Orthopedics & Traumatology, Royal Prima General Hospital, Medan 20118, Indonesia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuieng-Yi (Johnny)","family":"Lu","sequence":"additional","affiliation":[{"name":"Division of Reconstructive Microsurgery, Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Taoyuan 333, Taiwan"},{"name":"Department of Occupational Therapy and Graduate Institute of Behavioral Sciences, College of Medicine, Chang Gung University, Taoyuan 333, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheng-Pang","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kuo-Yao","family":"Hsu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, New Taipei Municipal Tucheng Hospital, New Taipei City 236, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"You-Hung","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, New Taipei Municipal Tucheng Hospital, New Taipei City 236, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Huan","family":"Sheu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Taoyuan Chang Gung Memorial Hospital, Taoyuan 333, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0111-490X","authenticated-orcid":false,"given":"Chao-Yu","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao-Che","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chieh-An","family":"Chuang","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Keelung Chang Gung Memorial Hospital, Keelung 204, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9415-5115","authenticated-orcid":false,"given":"Chih-Hao (Joe)","family":"Chiu","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,10,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"705","DOI":"10.5435\/JAAOS-D-18-00433","article-title":"Adult Traumatic Brachial Plexus Injuries","volume":"27","author":"Noland","year":"2019","journal-title":"J. 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