Results of Transfer of the Pectoralis Major Tendon to Treat Paralysis of the Serratus Anterior Muscle*

Nerve Transfer to Serratus Anterior Muscle Using the Thoracodorsal Nerve for Winged Scapula in C5 and C6 Brachial Plexus Root Avulsions

“…3 At final follow-up, patients' results were graded as either excellent, good, fair, or poor. 4 The result was considered to be excellent when the patient was fully satisfied with the outcome, was pain free, had full use of the arm for activities of daily living, and had no scapular winging. A good result indicated that the patient was fully satisfied with the outcome, had intermittent mild pain, had full use of the arm for activities of daily living, and had no or mild painless scapular winging.…”

Operative treatment of a winged scapula due to peripheral nerve palsy in Lyme disease: A case report and review of the literature

“…2,6,8,17,13,14 In the largest number of cases (16), the pectoralis major muscle was taken completely. 13 Although functional or aesthetic results were not reported, it may be more physiologic to leave the clavicular part intact. In addition, the sternocostal portion seems to be sufficient to restabilize the scapula.…”

Dynamic Stabilization of the Scapula for Serratus Anterior Dysfunction: A Retrospective Study of Functional Outcome and Results

“…[10][11][12][13][14][15][16] Today, the split pectoralis major tendon transfer is widely used for surgical management of scapular winging. 13,15,[17][18][19][20][21] However, owing to their being few examples and short follow-up periods, there is little information available regarding this technique for large groups and complete functional outcomes. This study was conducted to evaluate the functional outcome and clinical results in a relatively large group of patients with scapular winging caused by long thoracic nerve injuries.…”

“…15,[17][18][19]21) All reported failures usually developed as graft failures within a few months of surgery due to aggressive physical therapy or heavy manual labor. 17,20) However, changing the graft augmentation technique to use twisted, multilayered fascia lata or hamstring tendons, decreases the earlier reported failure rates.…”