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Clin Shoulder Elbow > Volume 12(2); 2009 > Article
Journal of the Korean Shoulder and Elbow Society 2009;12(2):236-239.
DOI: https://doi.org/10.5397/CiSE.2009.12.2.236    Published online December 31, 2009.
Pectoralis Major Tendon Transfer for Refractory Winged Scapula: A Case Report
Sang Hun Ko, Sung Do Cho, Ki Jae Lee, Chae Chil Lee
Department of Orthopedic Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea. everest@naver.com
난치성 익상 견갑의 대흉근 이전술 - 증례 보고 -
고상훈·조성도·이기재·이채칠
울산대학교 의과대학 울산대학교병원 정형외과학교실
Abstract
PURPOSE
We wanted to evalulate the clinical results of pectoris major tendon transfer for a neglected winged scapula that was caused by paralysis of the serratus anterior due to injury to the long thoracic nerve. MATERIALS AND METHODS: A patient had neglected winged scapula that followed an arthroscopic operation for multi-directional instability of the shoulder joint, which was caused by traumatic dislocation. The patient was treated with pectoralis major tendon transfer using the modified Eden-Lange procedure. The range of a motion was improved from forward flexion 90degrees and external rotation 70degrees to 170degrees and 150degrees respectively.
RESULTS
AND CONCLUSION: There were no complications or recurrence and the patient's psychological satisfaction was also high. If the shoulder girdle muscles are intact, except for the serratus anterior, then pectoralis tendon transfer is a satisfactory method that can provide normal scapulo-thoracic motion.
Key Words: Winged scapula; Pectoralis major tendon transfer
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