Contralateral trapezius transfer to treat scapular winging: A case report and review of literature

Figure 1 Case timeline. CMS: Constant-Murley score.

Figure 2 Scapular winging with right shoulder in passive flexion.

Figure 3 Decreased shoulder movement with 60º active flexion. Scapular winging is observed with shoulder flexion.

Figure 4 Superficial anatomical landmarks and incision planning.

Figure 5 Bone tissues can be seen at the tips of the mosquito clamp coming from T11 and T12 spinal processes.

Figure 6 The compound osteomuscular trapezius flap was raised and passed through a subcutaneous tunnel (Penrose drain) to the second incision.

Figure 7 The flap was fixed using anchors in the beds and transosseous sutures through the scapular spine to attach the tendon to the footprint.

Figure 8 Diagram of the contralateral trapezius compound osteomuscular flap transfer.

Figure 9 Active range of motion at the 6-mo follow-up. A: Flexion (notice flap working); B: Abduction; C: External rotation; D: Internal rotation and normal lift-off test.