Pectoralis major transfer (partial or complete) is the most common transfer to the
scapula for winging as a result of serratus anterior paralysis or injury. The most
commonly described technique is to transfer the pectoralis major prolonged with tendon
allograft or autograft to the scapula. We present a technique that entails direct
transfer of the sternal head of the pectoralis major with its bony insertion to the
lower scapula.
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References
- Surgical treatment of winged scapula.Clin Orthop Relat Res. 2008; : 652-660
- Serratus anterior dysfunction: recognition and treatment.Clin Orthop Relat Res. 1998; : 139-148
- Pectoralis major tendon transfer for the treatment of scapular winging due to long thoracic nerve palsy.J Shoulder Elbow Surg. 2012; 21: 685-690
- Gross anatomy of the shoulder.in: Rockwood C.A. The Shoulder. 4th ed. Saunders, Philadelphia, PA2009: 33-100
- An anatomic study of structure and innervation of the serratus anterior muscle.Surg Radiol Anat. 2012; 34: 921-928
- Pectoralis major transfer for serratus anterior paralysis.J Shoulder Elbow Surg. 2003; 12: 555-600
- Iatrogenic nerve injuries.Neurosurg Clin N Am. 2009; 20: 73-90
- Pectoralis major to scapula transfer for patients with serratus anterior palsy.Tech Hand Upper Extrem Surg. 2011; 15: 135-137
- Dynamic stabilization of winging scapula by direct split pectoralis major transfer: a technical note.J Shoulder Elbow Surg. 2000; 9: 76-78
- Direct pectoralis major muscle transfer for dynamic stabilization of scapular winging.J Shoulder Elbow Surg. 2008; 17: 29S-34S
Article info
Publication history
Accepted:
November 11,
2013
Received:
November 1,
2013
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
