Outcomes of tendon transfers for scapular winging in young military athletes

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Abstract

Background

The partial pectoralis major transfer for the treatment of serratus anterior deficiency and modified Eden-Lange/Triple Tendon Transfer for trapezius deficiency result in improvement in pain and shoulder function. However, athletic function following these procedures is unknown. The purpose of this study is to determine the outcomes and return to military duty and athletic tasks following partial pectoralis major transfer and Tripler Tendon Transfer.

Methods

A retrospective review of prospectively gathered data was performed for all patients surgically treated for medial and lateral scapular winging at two military medical centers. Preoperative patient-reported outcomes collected included the Single Assessment Numeric Evaluation (SANE), Visual Analog Scale (VAS), and American Shoulder and Elbow Surgeons (ASES). Patients were excluded if they had less than 1 year follow-up, no postoperative patient-reported outcomes or return to military duty data.

Results

Eleven patients were surgically treated for scapular winging, 7 patients for serratus anterior deficiency and 4 patients for trapezius deficiency and were available for follow-up at a mean of 28 months. The mean preoperative outcome scores were SANE 40.9%, VAS 4.4 and ASES 54.4. Significant improvement in SANE 77.4% (P = .001), VAS 1.8 (P = .017) and ASES 75.7 (P = .008) was identified. Five of the 9 (55.6%) active-duty service members were able to meet their fitness requirements and remain on active-duty status.

Conclusion

The split pectoralis major transfer for serratus anterior deficiency and the Triple Tendon Transfer for trapezius deficiency are excellent treatment options in patients who have high physical demands.
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年轻军事运动员肩胛骨翼肌腱移植的结果
背景部分胸大肌转移治疗前锯肌缺损和改良伊登-朗格/三肌腱转移治疗斜方肌缺损可改善疼痛和肩部功能。然而,这些手术后的运动功能尚不清楚。本研究的目的是确定部分胸大肌转移术和三倍肌腱转移术后的效果以及重返部队和从事运动任务的情况。方法对两家军事医疗中心前瞻性收集的所有肩胛骨内侧和外侧翼状突起手术治疗患者的数据进行回顾性审查。术前收集的患者报告结果包括单项数字评估(SANE)、视觉模拟量表(VAS)和美国肩肘外科医生评估(ASES)。随访时间不足1年、无术后患者报告结果或重返部队数据的患者将被排除在外。结果7名肩胛骨翼状突起患者、7名前锯肌缺损患者和4名斜方肌缺损患者接受了手术治疗,平均随访时间为28个月。术前平均疗效评分为 SANE 40.9%、VAS 4.4 和 ASES 54.4。术后 SANE 77.4% (P = .001)、VAS 1.8 (P = .017) 和 ASES 75.7 (P = .008) 均有显著改善。9 名现役军人中有 5 名(55.6%)能够达到体能要求并继续服现役。
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