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Scapulothoracic Fusion for Fascioscapulohumeral Muscular Dystrophy

April 01, 2010

Contributors: Michael DeFranco, MD; Shane Jay Nho, MD, FAAOS; Anthony A Romeo, MD, FAAOS

Scapulothoracic fusion is a technically demanding procedure that requires a thorough understanding of the periscapular anatomy as well as attention to steps that promote successful fusion between the scapula and the underlying ribs. The goal of scapulothoracic fusion is to create a solid union between the anterior surface of the scapula and the posterior thorax, primarily to alleviate discomfort and provide improved function. If solid fusion is achieved, winging is eliminated and, as a result, a more agreeable cosmetic appearance is achieved. Meticulous technique performed by an experienced orthopaedic surgeon, in addition to appropriate postoperative care and rehabilitation, is required to optimize results.

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