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outcome following transfer of the trapezius muscle varies   provide satisfactory function and stability  with fewer
          considerably.                                       complications.
          The current  technique  of using  the  upper descending   Declaration of patient consent
          fibers is easy, quick and reliable with reproducible results   The authors certify that they have obtained all appropriate
          and a definite increase in shoulder stability and function.   patient consent forms. In the form the patient(s) has/have
          The mean level of abduction of 85° and flexion of 55.2°   given his/her/their consent for his/her/their  images and
          achieved was encouraging. In 3 of 32  patients, almost   other  clinical information  to be  reported in  the  journal.
          140° of abduction was obtained. In addition, patients were   The patients understand that their names and initials will
          satisfied with fullness in the otherwise atrophic  deltoid   not be published and due efforts will be made to conceal
          region, improved forward flexion, a more stable shoulder   their identity, but anonymity cannot be guaranteed.
          joint, and decreased heaviness of the upper limb.
                                                              Financial support and sponsorship
          Passive  shoulder  abduction  of  more  than  90°  and  strong   Nil.
          adductors  are  important  prerequisites,  and  an  intensive
          physiotherapy program should be initiated prior to transfer in   Conflicts of interest
          order to gain more passive abduction. If adequate abduction   There are no conflicts of interest.
          is not attained, shoulder arthrodesis is the last resort.
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                                                                  Berger A, Brenner PD. Secondary surgery following brachial plexus injuries.
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                                                              10.  Severo AL, Maia PE, Lemos MB, Piluski PC, Lech OL, Fukushima WY. Transfer
          Postoperative function depends on the  greatest  possible   of the trapezius to the deltoid for the treatment of shoulder instability after
          tension in the transferred muscle. Proximal mobilization   lesions of the brachial plexus. Surg Sci 2013;4:459‑63.
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          damage to the accessory nerve, which should be identified   12.  Singh AK, Karki D. Modified trapezius transfer technique for restoration
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          Plast Aesthet Res || Vol 2 || Issue 6 || Nov 12, 2015                                             349
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