Eden - Lange法による僧帽筋再建術を施行した陳旧性副神経損傷の1例

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We reported on a case of paralysis of the trapezius due to an accessory nerve injury, that had a successful result with Eden-Lange procedure.[Case] A 21-year-old male felt pain in his right shoulder girdle after an excision of a right cervical soft tissue tumor in 1995. He visited our hospital on August 16, 2000. Physical examination revealed drooping of the right shoulder girdle, a scapular winging of the right shoulder, muscle atrophy of the right trapezius, an asymmetric scapulohumeral rhythm, and motor weakness of the upper and middle fiber of the right trapezius. We performed a modified Eden-Lange procedure on December 5, 2000. The levator scapulae was transferred to the scapular spine 5cm medial from the posterior tip of the acromion, the rhomboid minor and rhomboid major were transferred to the supraspinatus and infraspinatus fossa 5cm to 6cm lateral to the medial border of the scapula. An abduction brace was applied for six weeks. Three months after the surgery, his right shoulder girdle pain had disappeared. He can elevate his right arm fully without asymmetrical scapulohumeral rhythm.[Discussion] In cases of paralysis of the trapezius after an accessory nerve injury, instability of the scapula leads to pain of the shoulder girdle and restriction of shoulder elevation. For chronic paralysis, functional reconstruction of the trapezius is recommended. Eden-Lange procedure is one of the useful procedures for a chronic accessory nerve injury.
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Eden - Lange法による僧帽筋再建術を施行した陳旧性副神経損傷の1例

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