Recognition and repair of the slipped rectus muscle

David Plager, M. M. Parks

Research output: Contribution to journalArticle

22 Citations (Scopus)

Abstract

Since the first description of the slipped muscle as a complication of strabismus surgery in 1979, the distinctions between it and the lost muscle have become blurred both in the literature and in general understanding. Sixty-two slipped muscles in 52 consecutive patients were reviewed in an effort to more fully describe this important and often unrecognized entity. The range of clinical presentation of slipped muscle is large; from the immediate large postoperative over- or undercorrection with absent duction, to the gradual moderate deviation with subtly reduced excursion. The ductions provided by the slipped muscles ranged from complete absence to almost normal, with an average of 19° excursion beyond the midline. At surgery, recognizing the empty muscle capsule attached to the sclera with the tendon slipped posteriorly within it is imperative for its repair. Recognition is facilitated by suspecting it from clinical findings. Correction of the motility defect requires advancement of the muscle tissue and not just its empty capsule. Slippage can probably be prevented by using a surgical technique, which firmly locks the suture to the tendon and not just to the muscle capsule.

Original languageEnglish
Pages (from-to)270-274
Number of pages5
JournalJournal of Pediatric Ophthalmology and Strabismus
Volume25
Issue number6
StatePublished - 1988

Fingerprint

Muscles
Capsules
Tendons
Sclera
Strabismus
Sutures

ASJC Scopus subject areas

  • Ophthalmology
  • Pediatrics, Perinatology, and Child Health

Cite this

Recognition and repair of the slipped rectus muscle. / Plager, David; Parks, M. M.

In: Journal of Pediatric Ophthalmology and Strabismus, Vol. 25, No. 6, 1988, p. 270-274.

Research output: Contribution to journalArticle

@article{d3992e8e85194e69baa96e99aeb54851,
title = "Recognition and repair of the slipped rectus muscle",
abstract = "Since the first description of the slipped muscle as a complication of strabismus surgery in 1979, the distinctions between it and the lost muscle have become blurred both in the literature and in general understanding. Sixty-two slipped muscles in 52 consecutive patients were reviewed in an effort to more fully describe this important and often unrecognized entity. The range of clinical presentation of slipped muscle is large; from the immediate large postoperative over- or undercorrection with absent duction, to the gradual moderate deviation with subtly reduced excursion. The ductions provided by the slipped muscles ranged from complete absence to almost normal, with an average of 19° excursion beyond the midline. At surgery, recognizing the empty muscle capsule attached to the sclera with the tendon slipped posteriorly within it is imperative for its repair. Recognition is facilitated by suspecting it from clinical findings. Correction of the motility defect requires advancement of the muscle tissue and not just its empty capsule. Slippage can probably be prevented by using a surgical technique, which firmly locks the suture to the tendon and not just to the muscle capsule.",
author = "David Plager and Parks, {M. M.}",
year = "1988",
language = "English",
volume = "25",
pages = "270--274",
journal = "Journal of Pediatric Ophthalmology and Strabismus",
issn = "0191-3913",
publisher = "Slack Incorporated",
number = "6",

}

TY - JOUR

T1 - Recognition and repair of the slipped rectus muscle

AU - Plager, David

AU - Parks, M. M.

PY - 1988

Y1 - 1988

N2 - Since the first description of the slipped muscle as a complication of strabismus surgery in 1979, the distinctions between it and the lost muscle have become blurred both in the literature and in general understanding. Sixty-two slipped muscles in 52 consecutive patients were reviewed in an effort to more fully describe this important and often unrecognized entity. The range of clinical presentation of slipped muscle is large; from the immediate large postoperative over- or undercorrection with absent duction, to the gradual moderate deviation with subtly reduced excursion. The ductions provided by the slipped muscles ranged from complete absence to almost normal, with an average of 19° excursion beyond the midline. At surgery, recognizing the empty muscle capsule attached to the sclera with the tendon slipped posteriorly within it is imperative for its repair. Recognition is facilitated by suspecting it from clinical findings. Correction of the motility defect requires advancement of the muscle tissue and not just its empty capsule. Slippage can probably be prevented by using a surgical technique, which firmly locks the suture to the tendon and not just to the muscle capsule.

AB - Since the first description of the slipped muscle as a complication of strabismus surgery in 1979, the distinctions between it and the lost muscle have become blurred both in the literature and in general understanding. Sixty-two slipped muscles in 52 consecutive patients were reviewed in an effort to more fully describe this important and often unrecognized entity. The range of clinical presentation of slipped muscle is large; from the immediate large postoperative over- or undercorrection with absent duction, to the gradual moderate deviation with subtly reduced excursion. The ductions provided by the slipped muscles ranged from complete absence to almost normal, with an average of 19° excursion beyond the midline. At surgery, recognizing the empty muscle capsule attached to the sclera with the tendon slipped posteriorly within it is imperative for its repair. Recognition is facilitated by suspecting it from clinical findings. Correction of the motility defect requires advancement of the muscle tissue and not just its empty capsule. Slippage can probably be prevented by using a surgical technique, which firmly locks the suture to the tendon and not just to the muscle capsule.

UR - http://www.scopus.com/inward/record.url?scp=0024211576&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0024211576&partnerID=8YFLogxK

M3 - Article

VL - 25

SP - 270

EP - 274

JO - Journal of Pediatric Ophthalmology and Strabismus

JF - Journal of Pediatric Ophthalmology and Strabismus

SN - 0191-3913

IS - 6

ER -