KMID : 0858320090120020236
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Journal of the Korean Shoulder Elbow Society 2009 Volume.12 No. 2 p.236 ~ p.239
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Pectoralis Major Tendon Transfer for Refractory Winged Scapula -A Case Report-
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Ko Sang-Hun
Cho Sung-Do Lee Chae-Chil Lee Ki-Jae
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Abstract
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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 90¢ªand external rotation 70¢ªto 170¢ªand 150¢ª 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.
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KEYWORD
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Winged scapula, Pectoralis major tendon transfer
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