Case Report
Copyright ©The Author(s) 2019.
World J Orthop. Jan 18, 2019; 10(1): 33-44
Published online Jan 18, 2019. doi: 10.5312/wjo.v10.i1.33
Figure 1
Figure 1 Case timeline. CMS: Constant-Murley score.
Figure 2
Figure 2 Scapular winging with right shoulder in passive flexion.
Figure 3
Figure 3 Decreased shoulder movement with 60º active flexion. Scapular winging is observed with shoulder flexion.
Figure 4
Figure 4 Superficial anatomical landmarks and incision planning.
Figure 5
Figure 5 Bone tissues can be seen at the tips of the mosquito clamp coming from T11 and T12 spinal processes.
Figure 6
Figure 6 The compound osteomuscular trapezius flap was raised and passed through a subcutaneous tunnel (Penrose drain) to the second incision.
Figure 7
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
Figure 8 Diagram of the contralateral trapezius compound osteomuscular flap transfer.
Figure 9
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.