Single-incision Eden-Lange procedure in trapezius muscle paralysis: A report of 11 cases

Abstract

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.