TY  - JOUR
T1  - Scapulothoracic Fusion for Clavicular InsufficiencyA Report of Two Cases
AU  - Elhassan, Bassem
AU  - Chung, Soo Tai
AU  - Ozbaydar, Mehmet
AU  - Diller, David
AU  - Warner, Jon J.P.
Y1  - 2008/04/01
N1  - 10.2106/JBJS.G.00986
JO  - The Journal of Bone & Joint Surgery
SP  - 875
EP  - 880
VL  - 90
IS  - 4
N2  - 
Scapulothoracic fusion is an uncommon procedure performed to stabilize the scapula to the chest wall. It is usually used to treat painful refractory winging of the scapula1-4, and it has been described principally in patients with fascioscapulohumeral muscular dystrophy, since tendon transfers in this population are usually unsuccessful2-8. Other indications include salvage of failed tendon transfer procedures to treat spinal accessory nerve palsy1,9,10 or long thoracic nerve palsy3,9-12. Additionally, disabling scapular winging secondary to loss of the medial clavicular strut support is a very rare indication that has not been reported previously. We report our experience with two patients in whom excision of the medial portion of the clavicle resulted in subsequent loss of scapular control and severe pain. Both patients were successfully managed with scapulothoracic fusion.

SN  - 0021-9355
M3  - doi: 10.2106/JBJS.G.00986
UR  - http://dx.doi.org/10.2106/JBJS.G.00986
ER  -