This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
Paralysis of the deltoid muscle is probably the most common disability in the upper extremity following infantile paralysis. The disability may be permanent. Several procedures have been designed for its relief, the most satisfactory of which is arthrodesis of the scapulohumeral articulation.
Bradford, Legg, Mayer and others have advocated muscle transplants, some of which were attended with fair functional improvement. In these operations, either the trapezius or the pectoralis major muscle has been utilized.
In children arthrodesis is not particularly satisfactory, because the weight of the arm causes the humerus to bend downward either at the joint or at the epiphyseal line.
If there is complete paralysis of the deltoid and good to normal power in the biceps and triceps, I use these two muscles in the following manner:
A saber incision is made over the shoulder, the anterior leg extending down over the anteromedial aspect of the arm for
Ober FR. AN OPERATION TO RELIEVE PARALYSIS OF THE DELTOID MUSCLE. JAMA. 1932;99(26):2182. doi:10.1001/jama.1932.27410780003009b
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: