J Korean Orthop Assoc.  1975 Mar;10(1):108-110. 10.4055/jkoa.1975.10.1.108.

Bilateral Serratus Anterior Paralysis with It's Surgical Treatment: A case report

• Moon MH

• KMID: 2471453
• DOI: http://doi.org/10.4055/jkoa.1975.10.1.108

Abstract

Bilateral serratus anterior paralysis was observed in a 18-year-old, otherwise robust, young man, who had recognized the progressive impairment of abduction-elevation of both arms for one year before admission. Restoration of excellent function of both shoulders were reached by the operation, in which transplantation of the pectoralis minor to the interior angle of the scapula and also fixation of the medial border of the scapula to the adjacent spinous processes were done simultaneously for each shoulder.

MeSH Terms

Adolescent
Arm
Humans
Paralysis*
Scapula
Shoulder

Figure

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  Fig. 1. Preoperatively abduction-elevation beyond 45° was impossible. Note “winged scapula”.

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  Fig. 2. Postoperative pictures show a) 90° abdu- ction-elevation and b) correction of the posterior protrusion of the scapulae.

Reference

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6). Marmor L.., Bechtol C. O.Paralysis of the serratus anterior due to electric shock relieved by transplantation of the pectoralis major muscle A case report,. J. J. Bone Joint Surg. 45-A:156. 1963.

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