Objective: The aim of this study was to evaluate the outcome of single-incision Eden-Lange procedure intrapezius muscle paralysis.Methods: The medical records of 11 patients (3 females and 8 males); mean age: 41 (25e59) years withtrapezius muscle paralysis who underwent Eden-Lange procedure in our Center, between February 2009and April 2013, were retrospectively analyzed. The clinical outcomes were evaluated with the AmericanShoulder and Elbow Surgeons Shoulder (ASES) score and visual analogue scale (VAS).Results: The mean duration of symptoms before surgery was 10.18 months. The average duration offollow-up was 33.5 (24e48) months. The mean VAS score improved from 7.8 to 1.6 points (p < 0.05). Thetotal ASES improved from 32.8 to 82.1 points (p< 0.05). The mean range of motion in forward elevationand abduction increased signiŞcantly from 121.80 to 154.40 (p < 0.05) and 80.00 to 148.18(p< 0.05),respectively.Conclusion: Single incision Eden-Lange procedure appears to be a safe and effective treatment option forthe patients with trapezius muscle paralysis.Level of evidence: Level IV, therapeutic study.
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1. Chan PK, Hems TE. Clinical signs of accessory nerve palsy. J Trauma. 2006;60(5): 1142e1144.
2. Lee S, Savin DD, Shah NR, Bronsnick D, Goldberg B. Scapular winging: evaluation and treatment: AAOS exhibit selection. J Bone Jt Surg Am. 2015;97(20): 1708e1716.
3. Meininger AK, Figuerres BF, Goldberg BA. Scapular winging: an update. J Am Acad Orthop Surg. 2011;19(8):453e462.
4. Bigliani LU, Perez-Sanz JR, Wolfe IN. Treatment of trapezius paralysis. J Bone Jt Surg Am. 1985;67(6):871e877.
5. Zeier FG. The treatment of winged-scapula. Clin Orthop Relat Res. 1973;91(1): 128e133.
6. Kaplan PE. Electrodiagnostic confirmation of long thoracic nerve palsy. J Neurol Neurosurg Psychiatry. 1980;43(1):50e52.
7. Sanitate S, Jurist KA. Medial scapular winging in a patient with normal electromyograms. Orthopedics. 1995;18(3):292e293.
8. Wiater JM, Bigliani LU. Spinal accessory nerve injury. Clin Orthop Relat Res. 1999;368(1):5e16.
9. Kuhn JE, Plancher KD, Hawkins RJ. Scapular winging. J Am Acad Orthop Surg. 1995;3(6):319e325.
10. Romero J, Gerber C. Levator scapulae and rhomboid transfer for paralysis of trapezius. Bone Jt J. 2003;85(8):1141e1145.
11. Fiddian NJ, King RJ. The winged scapula. Clin Orthop Relat Res. 1984;185(1): 228e236.
12. Duralde XA. Evaluation and treatment of the winged scapula. J South Orthop Assoc. 1994;4(1):38e52.
13. Olarte MA, Adams DA. Accessory nerve palsy. J Neurol Neurosurg Psychiatry. 1977;40(11):1113e1116.
14. Norden A. Peripheral injuries to the spinal accessory nerve. Acta Chir Scand. 1946;94(6):515.
15. Woodhall B. Trapezius paralysis following minor surgical procedures in the posterior cervical triangle. Results following cranial nerve suture. Ann Surg. 1952;136(3):375.
16. Eden R. Zur Behandlung der TrapeziuslEUR ahmung mittelst Muselplastik. Deutsche Zeitschr Chir. 1924;184(1):387e397.
17. Lange M. Die Behandlung der irreparablen TrapeziuslEUR ahmung. Langenbecks Arch Klin Chir. 1951;270:437e439.
18. Galano GJ, Bigliani LU, Ahmad CS, Levine WN. Surgical treatment of winged scapula. Clin Orthop Relat Res. 2008;466(3):652e660.
19. Teboul F, Bizot P, Kakkar R, Sedel L. Surgical management of trapezius palsy. J Bone Jt Surg Am. 2004;86(9):1884e1890.
20. Elhassan BT, Wagner ER. Outcome of triple-tendon transfer, an Eden-Lange variant, to reconstruct trapezius paralysis. J Shoulder Elb Surg. 2015;24(8): 1307e1313.
21. Ozalp T, Yercan H, Okcu G, Erkan S. The modified Eden-Lange procedure for paralysis of the trapezius muscle. Acta Orthop Traumatol Turc. 2004 Jul 23;41(2):159e162.