Trapezius Transplantation in the Treatment of Deltoid Paralysis

Although muscle and tendon transplantation has been used extensively during the past fifteen years to correct motor disturbances following paralysis of a muscle or group of muscles, but few cases are reported in which the procedure has been used to correct the motor disturbances associated with deltoid paralysis. Hoffa1reported three cases and Gersuny2one in 1906 in which the trapezius was transplanted into the paralyzed deltoid, and during the past year Kiliani3has reported another. The results in two of Hoffa's cases were very satisfactory. The third case could not be traced. In Gersuny's case the arm could be raised to the horizontal in four months and at the end of six months the range of motion approached the normal, but the movements were not carried out with much power. Kiliani's patient had a fair degree of motion after three months. Of the five patients operated