Scapulothoracic Fusion for Clavicular Insufficiency

Authors:
Publisher website
Google Scholar
Abstract
Between 2000 and 2006, eight patients (ten shoulders) underwent scapulothoracic fusion at our institution. There were four men and four women, with a mean age of 38.4 years (range, nineteen to sixty-one years). The most common indications for surgery were refractory symptomatic scapular winging secondary to fascioscapulohumeral muscular dystrophy in five shoulders, anterior serratus muscle paralysis secondary to long thoracic nerve palsy in one shoulder, and trapezius muscle paralysis secondary to spinal accessory nerve injury in two shoulders. In two of the eight patients (two shoulders), the procedure was performed to treat symptoms following resection of the medial portion of the clavicle. The presentation of these two patients was markedly different from that of the other patients, and their degree of disability and pain was profound. We are not aware of any similar cases that have been published previously in the literature. The two patients were informed that data concerning the case would be …

This publication has 19 references indexed in Scilit: